MR. COENRAAD JACOBUS VANDENBERG
NPI 1023371440
Pharmacist in Tacoma, WA

Active since June 20, 2012
104 MILITARY RD E, TACOMA, WA 98445(253) 538-2611(253) 538-4918 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Coenraad Jacobus Vandenberg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. COENRAAD JACOBUS VANDENBERG (NPI 1023371440) is an individual pharmacist in Tacoma, Washington, licensed in Washington (PH00050052) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1023371440
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. COENRAAD JACOBUS VANDENBERG
Location Address104 MILITARY RD ETacoma, WA 98445-1243
Mailing Address104 Military Rd ETacoma, WA 98445-1243 · (253) 538-2611 · Fax (253) 538-4918
Fax(253) 538-4918
Sole ProprietorYes
Enumeration DateJune 20, 2012
NPI 1023371440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WA · PH00050052
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
104 MILITARY RD E, Tacoma, WA 98445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coenraad Vandenberg's NPI number?

The NPI number for Coenraad Vandenberg is 1023371440. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Coenraad Vandenberg located?

Coenraad Vandenberg practices at 104 Military Rd E, Tacoma, WA 98445. The listed phone number is (253) 538-2611.

What is Coenraad Vandenberg's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Coenraad Vandenberg was last updated on June 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.