Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
VICTOR PROVENCIO
Active
Individual
VICTOR PROVENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6049
LICENSE
AZ
Enumeration date
11/28/2006
Last updated
11/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up