Provider Demographics
NPI:1578152880
Name:SONI, VIPUL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VIPUL
Middle Name:
Last Name:SONI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SABLE VLY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4880
Mailing Address - Country:US
Mailing Address - Phone:317-692-9809
Mailing Address - Fax:
Practice Address - Street 1:6601 BLANCO RD STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6105
Practice Address - Country:US
Practice Address - Phone:210-434-2477
Practice Address - Fax:855-298-6576
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist