Monte Vista Pharmacy
LBN: Monte Vp Llc
Monte Vista Pharmacy is an health care organization with primary practice located at 9635 Monte Vista Ave Ste 202 , Montclair CA 91763-2235. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Monte Vp Llc can be contacted via phone (909) 624-9633, or through Mekail, Kyrollos via phone (951) 750-9207.
Contact Information
Primary practice address
9635 Monte Vista Ave Ste 202
Montclair CA 91763-2235
Phone: (909) 624-9633
Fax: (909) 624-9483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY37394 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1538271457 |
|---|---|
| LBN Legal business name | Monte Vp Llc |
| DBA Doing business as | Monte Vista Pharmacy |
| Authorized official | Mekail, Kyrollos |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 26th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538271457 | NPPES |
| Other | 7991760001 | MEDICARE DME PTAN | |
| MEDICAID | 1538271457 | MEDICARE DME PTAN | |
| Other | CA514431 | MEDICARE DME PTAN |
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