VISTA CARE PHARMACY INC NPI 1174990030

NPI Information

NPI: 1174990030
Provider Name: VISTA CARE PHARMACY INC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Doing Business As: VISTA CARE PHARMACY
Address: 12351 MARIPOSA RD # 11
VICTORVILLE, CA
ZIP 92395
Phone: (760) 843-7000

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NPI Details

VISTA CARE PHARMACY INC is a community/retail pharmacy pharmacy in Victorville, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. VISTA CARE PHARMACY INC NPI is 1174990030. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Care Pharmacy.

The provider's business location address is:

12351 MARIPOSA RD # 11
VICTORVILLE, CA
ZIP 92395-013
Phone: (760) 843-7000
Fax: (760) 843-7900

The provider's authorized official is Amir A Rao .
The authorized official title is President/owner and has the following contact phone number (760) 843-7000.

The enumeration date for this NPI number is 8/26/2015 and was last updated on 8/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHY 53478	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PHY 53478	OTHER	CALIFORNIA	BOARD OF PHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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