Iliana Marie Liwanag, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

80685 Issued in CA

Practice address

72780 Country Club Dr Ste 403
Rancho Mirage, CA 92270-4149

Phone

(760) 610-6512

Fax

(760) 610-6981

NPI assigned

Jul 20, 2022

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Locations

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.

• Vivawell Pharmacy Company

  dba VivaRx

  • Community/Retail Pharmacy
  • Rancho Mirage, CA
  • NPI 1396107249
  NPD
• Vivawell Pharmacy Company

  dba VivaRx LTC

  • Long Term Care Pharmacy
  • Rancho Mirage, CA
  • NPI 1477299527
  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679208912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 403",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704149",
            "telephone_number": "917-618-8606",
            "fax_number": "760-610-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 403",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704149",
            "telephone_number": "760-610-6512",
            "fax_number": "760-610-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIWANAG",
        "first_name": "ILIANA MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levena Elise Linderholm, PMHNP
• Elisa M Lindley, MD
• Angela A. Lipschutz, APNP
• Robert James Lis, DO
• Live Well Ipa
• Peter A Ljungbergh, DDS
• Janine Greeno Loescher, RD, CDCES
• Daniel Logsdon, MD
• Lombardo Surgical, Inc.
• Maria Anne Lombardo, DO

• Pharmacist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.