Active NPI
Seriphone Vang, PHARM.D.
- Pharmacist
- Irving, TX
National Provider Identifier
1710480702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61710
- Practice address
- 2001 W John Carpenter Fwy
Irving, TX 75063-3255 - Phone
- (469) 513-3485
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61710 | TX | Primary |
Addresses
Primary practice location
2001 W John Carpenter Fwy
Irving, TX 75063-3255
Mailing address
7223 Neblina Dr
Grand Prairie, TX 75054-0049
Phone (214) 686-3570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61710 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1710480702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7223 NEBLINA DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750540049",
"telephone_number": "214-686-3570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W JOHN CARPENTER FWY",
"city": "IRVING",
"state": "TX",
"postal_code": "750633255",
"telephone_number": "469-513-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "SERIPHONE",
"name_prefix": "Ms.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.