Valparaiso Professional Pharmacy,P.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VALPARAISO PROFESSIONAL PHARMACY,P.C.

Practice address

2101 Roosevelt Rd
Valparaiso, IN 46383-2747

Phone

(219) 462-1485

Fax

(219) 465-4199

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Elton Lee Vander Tuin, PHARM.D.

Title

President

Phone

(219) 462-1485

Specialties & licenses 1

Addresses

Tax ID family

Valparaiso Professional Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valparasio Professional Pharmacy, P.C.

  • Community/Retail Pharmacy
  • Valparaiso, IN
  • NPI 1184736027
  NPD tax ID

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1710420153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832747",
            "telephone_number": "219-462-1485",
            "fax_number": "219-465-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832747",
            "telephone_number": "219-462-1485",
            "fax_number": "219-465-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALPARAISO PROFESSIONAL PHARMACY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "VANDER TUIN",
        "authorized_official_first_name": "ELTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-462-1485",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valparaiso Chiropractic & Wellness Inc
• Valparaiso Community Schools
• Valparaiso Family Dentistry PC
• Valparaiso Family Health Center, P.C.
• Valparaiso Home Care Services, LLC
• Valparaiso Radiology Group, LLC
• Valparasio Professional Pharmacy, P.C.
• Valpo Family Hearing Center, Inc.
• Valpo Therapy Kids, LLC
• Melissa E Valtierra, LMHC

• Community/Retail Pharmacy in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.