Victoria Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00002783 Issued in WA

Legal business name

VICTORIA PHARMACY INC

Doing business as

MEGA PHARMACY

Practice address

8001 S Hosmer St
Suite C
Tacoma, WA 98408-1017

Phone

(253) 302-4178

Fax

(253) 503-0858

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Amy Pond, RPH

Title

President

Phone

(253) 473-1919

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• MEGA PHARMACY Doing business as

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1174512537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9299",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984900299",
            "telephone_number": "253-302-4178",
            "fax_number": "253-503-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S HOSMER ST",
            "address_2": "SUITE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081017",
            "telephone_number": "253-302-4178",
            "fax_number": "253-503-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-473-1919",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00002783",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4917590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056698",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001333",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEGA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric A Vetter, DDS MSD PS
• Carmela De Jesus Vibar, RN
• Vibrant Healthcare Staffing & Homecare
• Rachelle Vicencio, MD
• Alexandra Vick, CNA
• Tana Rei Victorino
• Vida Chiropractic and Spinal Decompression
• Crystal Vidal
• Sheila Ann Vidal, R.N.
• Keiko H Vier, RPH

• Community/Retail Pharmacy in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.