Donald Crisp Vickers Jr., RPH BCNSP

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS 18603 Issued in FL

Practice address

1414 Kuhl Ave
Orlando Regional Medical Center Dept of Pharmacy
Orlando, FL 32806-2008

Phone

(321) 841-5327

Fax

(407) 649-6839

NPI assigned

Sep 13, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1851673065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 SHORE BREEZE LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105031",
            "telephone_number": "407-927-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE",
            "address_2": "ORLANDO REGIONAL MEDICAL CENTER DEPT OF PHARMACY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "321-841-5327",
            "fax_number": "407-649-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "DONALD",
        "middle_name": "CRISP",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH BCNSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS 18603",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AL",
            "license": "10040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Vicars
• Daniel Vice
• Martie Vicent, PHARMD
• Hamilton Page Vick, MD
• Arlene A Vickers, ARNP
• Ileana Vickers, APRN
• Michelle Marlo Boucher Vickers, NCC, CRC, LMHC
• Odessa Lee Vickery-Merrigan
• Christian Pocholo Vicmudo
• Victor N. Alvarado MD 'LLC'

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.