Active NPI
Vina Jomarie Famuleras De Vera, PHARMD
- Pharmacist
- Redondo Beach, CA
National Provider Identifier
1174246896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86828
- Practice address
- 2115 Artesia Blvd
Redondo Beach, CA 90278-3013 - Phone
- (424) 408-6006
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86828 | CA | Primary |
Addresses
Primary practice location
2115 Artesia Blvd
Redondo Beach, CA 90278-3013
Mailing address
1263 W Sonya LN Unit 207
Santa Maria, CA 93458-6602
Phone (714) 443-8724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86828 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1174246896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 W SONYA LN UNIT 207",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934586602",
"telephone_number": "714-443-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 ARTESIA BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783013",
"telephone_number": "424-408-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE VERA",
"first_name": "VINA JOMARIE",
"middle_name": "FAMULERAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.