VPRP, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53366 Issued in CA

Legal business name

VPRP, INC.

Practice address

17821 Santiago Blvd
Villa Park, CA 92861-4133

Phone

(714) 998-3030

Fax

(714) 998-6060

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Tobias Porter

Title

Corp Secretary

Phone

(714) 998-3030

Specialties & licenses 1

Addresses

Other names 1

• Villa Park Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Villa Park Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• VPRP, Inc.

  • Long Term Care Pharmacy
  • Villa Park, CA
  • NPI 1972334563
  NPD tax ID

Locations

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1174078075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 SANTIAGO BLVD",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614133",
            "telephone_number": "714-998-3030",
            "fax_number": "714-998-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 SANTIAGO BLVD",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614133",
            "telephone_number": "714-998-3030",
            "fax_number": "714-998-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPRP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_title_or_position": "CORP SECRETARY",
        "authorized_official_telephone_number": "714-998-3030"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sparkles KC LLC
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• Victoria Barrett Taylor, M.A., BCBA
• Tustin Community Pharmacy Inc
• VPRP, Inc.
• Linda M. Warner, D.O.
• William N. Langstaff, D.M.D.
• Wendy Young
• Your Voice Therapy

• Community/Retail Pharmacy in Villa Park, CA
• Providers in Villa Park, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.