Travis James Vanotterloo, PHARMD

Primary specialty

Critical Care PharmacistTaxonomy code 1835C0205X

License

72621 Issued in TX

Practice address

4502 Medical Dr
San Antonio, TX 78229-4402

Phone

(479) 236-3392

NPI assigned

Aug 8, 2026

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1801710058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 E ASHBY PL APT 332",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122032",
            "telephone_number": "479-236-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "479-236-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOTTERLOO",
        "first_name": "TRAVIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "TX",
            "license": "72621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanguard Omni Holdings
• Larry Matthew Vanhook, MA, M.DIV, DM, LMFT
• Peter Frank Vanligten, M.D.
• Heather Jill Vann, PT
• Jennifer Abbey Vanness, LPC
• Marilyn J Vanover, MD
• Randall M. Vanover, M.D.
• Mina Anthony Vanrachack, OD
• Jennifer Vanscoy-Pham, DDS
• Susan Vantlin

• Critical Care Pharmacist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Critical Care Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.