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DR. SURASAK JIM VASAVANONT PHARMD
NPI 1407133820
Pharmacist in Chicago, IL

Active since November 14, 2011
6016 W 63RD ST, CHICAGO, IL 60638(773) 788-0180(773) 788-0266 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Surasak Jim Vasavanont Pharmd NPPES

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

DR. SURASAK JIM VASAVANONT PHARMD (NPI 1407133820) is an individual pharmacist in Chicago, Illinois, licensed in Illinois (051.293192) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1407133820
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. SURASAK JIM VASAVANONTCredential: PHARMD
Location Address6016 W 63RD STChicago, IL 60638-4318
Mailing Address6016 W 63rd StChicago, IL 60638-4318 · (773) 788-0180 · Fax (773) 788-0266
Phone(773) 788-0180
Fax(773) 788-0266
Sole ProprietorYes
Enumeration DateNovember 14, 2011
✔ NPI 1407133820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IL · 051.293192
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.
6016 W 63RD ST, Chicago, IL 60638
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES ZURAITIS
Pharmacist
6016 W 63RD ST
CHICAGO, IL 60638
Cook County (773) 788-0180
JASON JOHN KOPINSKI PHARMD
Pharmacist
6016 W 63RD ST
CHICAGO, IL 60638
Cook County (773) 788-0180
WALGREEN CO
Pharmacy
6016 W 63RD ST
CHICAGO, IL 60638
Cook County (773) 788-0180
WALGREEN CO.
Clinical Medical Laboratory
6016 W 63RD ST
CHICAGO, IL 60638
Cook County (773) 788-0180

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 Surasak Vasavanont's NPI number?

The NPI number for Surasak Vasavanont is 1407133820. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Where is Surasak Vasavanont located?

Surasak Vasavanont practices at 6016 W 63rd St, Chicago, IL 60638. The listed phone number is (773) 788-0180.

What is Surasak Vasavanont'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 Surasak Vasavanont was last updated on November 14, 2011. 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.