Provider Demographics
NPI:1780664276
Name:VANCHERI, MICHAEL A (PHARMD, MPH)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:VANCHERI
Suffix:
Gender:
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1098
Mailing Address - Country:US
Mailing Address - Phone:619-532-5314
Mailing Address - Fax:619-532-6260
Practice Address - Street 1:866 SUNSET RIDGE PL
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-2533
Practice Address - Country:US
Practice Address - Phone:619-532-5314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRPH 14692183500000X
CARPH 54795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist