Carol B San Vicente, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S013932 Issued in AZ

Practice address

3501 Stockton Hill Rd
Kingman, AZ 86409-3227

Phone

(928) 757-1999

Fax

(928) 757-4441

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carol San Vicente Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Arizona CVS Stores LLC

  • Pharmacy
  • Peoria, AZ
  • NPI 1134549181
  NPD (past)
• Arizona CVS Stores, L.L.C.

  • Pharmacy
  • Kingman, AZ
  • NPI 1649409145
  NPD (past)

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1992089049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093227",
            "telephone_number": "928-757-1999",
            "fax_number": "928-757-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093227",
            "telephone_number": "928-757-1999",
            "fax_number": "928-757-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN VICENTE",
        "first_name": "CAROL",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S013932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SAN VICENTE",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Salim Medical Urgent Care Inc
• Salim Medical, LLC
• Attiya Salim, M.D.
• Harris Salim, M.D.
• San Luis Walk-in Clinic, Inc.
• Tori Sandoval, D.M.D.
• Santos Interventional Pain Medicine, P.C.
• Michelle Lee Sapp
• Timothy William Scanlon, PT, DPT, CSCS
• Laurence Schiff, M.D.

• All providers in Kingman, AZ
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.