VONS PHARMACY #1621 – NPI #1982633905
Pharmacy

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 PHARMACY #1621 is a pharmacy located in NIPOMO, CA. NPPES has assigned the NPI number 1982633905 to VONS PHARMACY #1621 on July 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VONS PHARMACY #1621” is a dba name, the actual legal business name for this organization is VONS COMPANIES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 8 years ago on Oct 29, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VONS PHARMACY #1621 below.

NPI Profile for
VONS COMPANIES INC

NPI Number
1982633905
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VONS COMPANIES INC
Doing Business As (dba): VONS PHARMACY #1621
Primary location
520 W TEFFT ST
NIPOMO, CA 93444-8946
Phone: (805) 931-1860 Fax: (805) 931-1866
Mailing address
250 E PARKCENTER BLVD
MAILSTOP SEC 2-B
BOISE, ID 83706-3940
Phone: (208) 395-6200 Fax: (623) 282-3834
Organization Subpart
No
Authorized Official
TIFFANY ELIOPULOS
ASSISTANT MANAGER, ENROLLMENTS
Phone: (208) 395-3906
Updated
Identifiers

Identifiers for VONS PHARMACY #1621

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK1996337
MEDICAIDCA1982633905
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
CA PHY52292
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.