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VONS COMPANIES INC NPI 1356387963


NPI Information

NPI: 1356387963
Provider Name: VONS COMPANIES INC

Doing Business As: VONS PHARMACY #2131

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2057143

Address:
12199 HESPERIA RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 241-8384
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VONS COMPANIES 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. VONS COMPANIES INC NPI is 1356387963. The provider is registered as an organization entity type.
The provider Is Doing Business As Vons Pharmacy #2131.

The provider's business location address is:

12199 HESPERIA RD
VICTORVILLE, CA
ZIP 92395-756
Phone: (760) 241-8384
Fax: (760) 843-0378

The provider's authorized official is Tiffany Eliopulos .
The authorized official title is Assistant Manager, Enrollments and has the following contact phone number (208) 395-3906.

The CLIA number assigned to this NPI record is 05D2057143 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 11/1/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY52348CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12000212OTHERPK
21356387963MEDICAIDCALIFORNIA

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: 11/14/2023

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