Marc A Vaughan, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

18274-40 Issued in WI

Practice address

N171W21840 Caymus CT
Jackson, WI 53037-1211

Phone

(262) 677-1401

NPI assigned

Mar 26, 2011

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthchek LLC

  • Point of Service
  • Schererville, IN
  • NPI 1265446611
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1659670800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N171W21840 CAYMUS CT",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530371211",
            "telephone_number": "262-677-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N171W21840 CAYMUS CT",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530371211",
            "telephone_number": "262-677-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 W North St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "IL",
            "postal_code": "604428202",
            "country_code": "US",
            "telephone_number": "815-478-4477",
            "fax_number": "815-478-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-26",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293069",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "WI",
            "license": "18274-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel R Stevens, M.D.
• Rachel Telschow, M.S., R.D., L.D.
• The Lactation Network, LLC
• Jennifer Lynn Thompson, OTR
• Amy C Truog, DPT
• Village of Jackson (Jackson Fire Department)
• Village of Jackson (Jackson Fire Department)
• Paulet J. Voigt, D.P.M.
• Walgreen Co
• Julie Kay Waln

• Geriatric Pharmacist in Jackson, WI
• Providers in Jackson, WI by specialty
• Geriatric Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.