Active NPI
Vanina Maria De la Vega
- Pharmacist
- Coral Springs, FL
National Provider Identifier
1831558287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS48772
- Practice address
- 10820 NW 24TH St
Coral Springs, FL 33065-3638 - Phone
- (754) 234-5000
- NPI assigned
- Feb 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | PS48772 | FL | Primary |
Addresses
Primary practice location
10820 NW 24TH St
Coral Springs, FL 33065-3638
Mailing address
10820 NW 24TH St
Coral Springs, FL 33065
Phone (754) 234-5000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS48772 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455408000000",
"number": "1831558287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10820 NW 24TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33065",
"telephone_number": "754-234-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 NW 24TH ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330653638",
"telephone_number": "754-234-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA VEGA",
"first_name": "VANINA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-14",
"last_updated": "2016-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS48772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.