Organization Active NPI

Village Rose Pharmacy, Inc.

Doing business as Village Rose Pharmacy

  • Community/Retail Pharmacy
  • La Mesa, CA
National Provider Identifier
1043603780
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51983 Issued in CA
Legal business name
VILLAGE ROSE PHARMACY, INC.
Doing business as
Village Rose Pharmacy
Practice address
7773 University Ave
La Mesa, CA 91942-4950
Phone
(619) 741-1344
Fax
(619) 741-1322
NPI assigned
Mar 5, 2015
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lorelei Nguyen
Title
Owner
Phone
(619) 750-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51983 CA Primary

Addresses

Primary practice location

7773 University Ave
La Mesa, CA 91942-4950

Mailing address

7773 University Ave
La Mesa, CA 91942-4950
Phone (619) 741-1344

Other identifiers 1

IdentifierTypeStateIssuer
2150593OtherPK

Other names 1

  • Village Rose Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1043603780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7773 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424950",
            "telephone_number": "619-741-1344",
            "fax_number": "619-741-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7773 UNIVERSITY AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424950",
            "telephone_number": "619-741-1344",
            "fax_number": "619-741-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ROSE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LORELEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-750-8101"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Rose Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.