VIA LIDO DRUG CORPORATION (NPI# 1932114535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932114535 |
| Entity Type | Organization |
| Organization Name | VIA LIDO DRUG CORPORATION |
| Other Organization Name | VIA LIDO DRUGS |
| Practice Address |
3445 Via Lido Newport Beach CA 92663-3908 |
| Mailing Address |
18 Technology Dr Ste 104 Irvine CA 92618-5303 |
| Practice Telephone | 9497238921 |
| Practice Fax Number | 9497238929 |
| Mailing Telephone | 9497159041 |
| Mailing Fax Number | 9497238929 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | DAVID ALLAN OLSEN (VICE PRESIDENT) |
| Authorized Official Telephone | 9497159041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
56189 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA40860 | 05 | |
| PK | 1995453 | 01 |
| Other Name | Type Code |
|---|---|
| VIA LIDO DRUGS | Doing Business As Name - Organization |
| Street Address |
3445 VIA LIDO |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456334 | Jason Loc Tran | Pharmacist | 3445 Via Lido, Newport Beach, CA 92663-3908 | 2020-01-15 |
| 1942619911 | Deborah Lotzof | Pharmacist | 3445 Via Lido, Newport Beach, CA 92663-3908 | 2014-08-04 |
| 1639588668 | Greg Knight | Pharmacist | 3445 Via Lido, Newport Beach, CA 92663-3908 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002485 | Pacific Pharmacy Group Dba Pacific Ltc Pharmacy | Pharmacy | 351 Hospital Rd Ste 207, Newport Beach, CA 92663-3504 | 2017-09-26 |
| 1598008922 | Maevelle LLC | Pharmacy | 2095 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2013-04-04 |
| 1174880397 | Sina Corporation | Pharmacy | 4229 Birch St Ste 100, Newport Beach, CA 92660-1959 | 2012-04-12 |
| 1164662664 | Pacific Pharmacy Group | Pharmacy | 351 Hospital Rd Ste 211, Newport Beach, CA 92663-3504 | 2009-02-24 |
| 1376743435 | F & N Pharma,inc | Pharmacy | 307 Placentia Ave Ste 102, Newport Beach, CA 92663-3307 | 2007-07-18 |
| 1255482709 | Cdm Pharmacy | Pharmacy | 716 E Balboa Blvd, Newport Beach, CA 92661-1306 | 2007-01-12 |
| 1114963279 | Garfield Beach Cvs LLC | Pharmacy | 1020 Irvine Ave, Newport Beach, CA 92660-4602 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.