Vista Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 53478 Issued in CA

Legal business name

VISTA CARE PHARMACY INC

Doing business as

Vista Care Pharmacy

Practice address

12351 Mariposa Rd # 11
Victorville, CA 92395-6013

Phone

(760) 843-7000

Fax

(760) 843-7900

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amir A Rao

Title

President/Owner

Phone

(760) 843-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VISTA CARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1174990030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 MARIPOSA RD # 11",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923956013",
            "telephone_number": "760-843-7000",
            "fax_number": "760-843-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 MARIPOSA RD # 11",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923956013",
            "telephone_number": "760-843-7000",
            "fax_number": "760-843-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-843-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "PHY 53478",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Alexandra Villegas
• Samantha Villegas
• Claudia Villierme, M.ED., M.F.T.
• Vir K Nanda MD Inc (Vir K Nanda MD)
• Vision Centre of Victor Valley Inc
• Vista Guidance Centers, Inc.
• Thuy T Vo, PHARM D.
• Adam Vollandt
• Irene Vong
• Marsha Vonlinsowe

• Community/Retail Pharmacy in Victorville, CA
• Providers in Victorville, 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 26, 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.