Pavilions Pharmacy #1911
LBN: Vons Companies Inc
Pavilions Pharmacy #1911 is an health care organization with primary practice located at 21181 Newport Coast Dr , Newport Coast CA 92657-1123. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Vons Companies Inc can be contacted via phone (949) 718-4986, or through Eliopulos, Tiffany via phone (208) 395-3906.
Contact Information
Primary practice address
21181 Newport Coast Dr
Newport Coast CA 92657-1123
Phone: (949) 718-4986
Fax: (949) 718-6258
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY52289 | California |
Profile Details
NPI number | 1396781167 |
---|---|
LBN Legal business name | Vons Companies Inc |
DBA Doing business as | Pavilions Pharmacy #1911 |
Authorized official | Eliopulos, Tiffany |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 21st, 2006 |
Last updated | Nov 1st, 2018 - about 6 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 | 1396781167 | NPPES |
California | MEDICAID | 1396781167 | |
California | Other | 2001993 |
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