Valparasio Professional Pharmacy, P.C.
NPI 1184736027 · Community/Retail Pharmacy · Valparaiso, IN
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1184736027
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Elton Vandertuin, Owner(219) 462-1484
- License
- 60006597 (IN)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
- Pharmacy333600000X
Suppliers
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Valparaiso Professional Pharmacy
- Doing business as
- Valparaiso Professional Pharmacy
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2022-11-15
- Certified
- 2022-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.