VALPARAISO PROFESSIONAL PHARMACYP.C. NPI 1710420153

NPI Information

  • NPI: 1710420153
  • Provider Name: VALPARAISO PROFESSIONAL PHARMACY,P.C.
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • CLIA Number: 15D2051987
  • Address: 2101 ROOSEVELT RD
    VALPARAISO, IN
    ZIP 46383
  • Phone: (219) 462-1485

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NPI Details

VALPARAISO PROFESSIONAL PHARMACY,P.C. is a community/retail pharmacy pharmacy in Valparaiso, IN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. VALPARAISO PROFESSIONAL PHARMACY,P.C. NPI is 1710420153. The provider is registered as an organization entity type.

The provider's business location address is:

2101 ROOSEVELT RD
VALPARAISO, IN
ZIP 46383-747
Phone: (219) 462-1485
Fax: (219) 465-4199

The provider's authorized official is Elton Lee Vander Tuin .
The authorized official title is President and has the following contact phone number (219) 462-1485.

The CLIA number assigned to this NPI record is 15D2051987 - other - outpt center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2016 and was last updated on 12/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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