VALLE VERDE PHARMACY, INC (NPI# 1700924180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700924180 |
Entity Type | Organization |
Organization Name | VALLE VERDE PHARMACY, INC |
Other Organization Name | VALLE VERDE PHARMACY |
Practice Address |
240 Green Valley Rd Freedom CA 95019-3137 |
Practice Telephone | 8317282239 |
Practice Fax Number | 8317289386 |
Mailing Telephone | 8317282239 |
Mailing Fax Number | 8317289386 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2011-05-02 |
Authorized Official Name | DR. THOMAS F DEMBSKI JR. (PRESIDENT) |
Authorized Official Telephone | 8314260200 |
Authorized Official Credential | PHARMD, RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY21728 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PHA217280 | 05 | |
CA | STATE PHARMACY LIC | PHY21728 | 01 |
CA | NABP | 05-67644 | 01 |
Other Name | Type Code |
---|---|
Valle Verde Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528106994 | Valle Verde Pharmacy, Inc | Pharmacy | 240 Green Valley Rd, Freedom, CA 95019-3137 | 2007-02-01 |
Street Address |
240 GREEN VALLEY RD |
City | FREEDOM |
State | CA |
Zip Code | 95019-3137 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427032176 | Valle Verde Pharmacy, Inc. | Pharmacy | 240 Green Valley Rd, Freedom, CA 95019-3137 | 2005-12-05 |
1528106994 | Valle Verde Pharmacy, Inc | Pharmacy | 240 Green Valley Rd, Freedom, CA 95019-3137 | 2007-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649757428 | J. B. Physical Therapy, Inc. | Physical Therapist | 212 Green Valley Road, Freedom, CA 95019 | 2018-07-24 |
1639514441 | Isamar Baeza | Counselor | 2716 Freedom Blvd., Freedom, CA 95019 | 2013-05-07 |
1174891386 | Lisa Patrice Hamil | Pharmacist | 1810 Freedom Blvd., Freedom, CA 95019 | 2011-12-02 |
1346363710 | Chad Truong | Dentist | 2016 Freedom Boulevard, Freedom, CA 95019 | 2007-04-09 |
1962539585 | Frederick Wen Kang Chen | Internal Medicine | 243 Green Valley Rd Suite #e, Freedom, CA 95019 | 2007-02-28 |
1538277819 | Jacqueline Morris-lopez | Physician Assistant | 108 Green Valley Rd, Freedom, CA 95019 | 2006-08-28 |
1912979725 | Angela Molina | Anesthesiology | 160 Green Valley Rd Ste 101, Freedom, CA 95019 | 2006-02-06 |
1194704973 | David A South Md & Kim M Albridge Md A Medical Corporation | Dermatology | 204 Green Valley Road, Freedom, CA 95019 | 2006-01-11 |
1699232108 | Kayhan Mashouf Dmd Inc | Dentist | 270 Green Valley Rd, Freedom, CA 95019 | 2019-02-21 |
1194215434 | Hai Phu Duong | Pharmacist | 1810 Freedom Blvd, Freedom, CA 95019 | 2018-05-11 |
Find all providers in zip 95019 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail 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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.