NPIMap

Organization Active NPI

Vista Pharmacies, Inc.

  • Community/Retail Pharmacy
  • Pico Rivera, CA
National Provider Identifier
1295836336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46204 Issued in CA
Legal business name
VISTA PHARMACIES, INC.
Practice address
9201 Whittier Blvd
Pico Rivera, CA 90660-2450
Phone
(562) 908-7012
Fax
(562) 908-7014
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Darshan Satish Bhakta, PHARM D.
Title
Pharmacist in Charge
Phone
(562) 908-7012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY46204 CA Primary

Addresses

Primary practice location

9201 Whittier Blvd
Pico Rivera, CA 90660-2450

Mailing address

9201 Whittier Blvd
Pico Rivera, CA 90660-2450
Phone (562) 908-7012

Other identifiers 2

IdentifierTypeStateIssuer
5600019OtherCANCPDP
PHA462040MedicaidCA

Other names 1

  • Pico Vista Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vista Pharmacies Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295836336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 WHITTIER BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602450",
            "telephone_number": "562-908-7012",
            "fax_number": "562-908-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 WHITTIER BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602450",
            "telephone_number": "562-908-7012",
            "fax_number": "562-908-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_middle_name": "SATISH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "562-908-7012",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5600019",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pico Vista Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.