Active NPI
Valley Prescription and Compounding Pharmacy
- Community/Retail Pharmacy
- Merced, CA
National Provider Identifier
1306077037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY50005
- Legal business name
- VALLEY PRESCRIPTION AND COMPOUNDING PHARMACY
- Doing business as
- Valley Prescription and Compounding Pharmacy
- Practice address
- 330 E 13TH St
Merced, CA 95341-6212 - Phone
- (209) 722-5765
- Fax
- (209) 722-3296
- NPI assigned
- Jul 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Hill, PHARM.D.
- Title
- Ceo-Owner
- Phone
- (209) 722-5765
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY50005 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
330 E 13TH St
Merced, CA 95341-6212
Mailing address
330 E 13TH St
Merced, CA 95341-6212
Phone (209) 722-5765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA50005 | Medicaid | CA | |
| 2121363 | Other | PK |
Other names 1
- Valley Prescription and Compounding Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930018623 | CA | DME Supplier - Pharmacy | 6406056720 | Practice locations: Merced, CA |
| O20120813000431 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406056720 | Practice locations: Merced, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Valley Prescription and Compounding Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Compounding Pharmacy
- Merced, CA
- NPI 1831674696
-
dba VPCP LTC
- Long Term Care Pharmacy
- Merced, CA
- NPI 1972493567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479859200000",
"number": "1306077037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416212",
"telephone_number": "209-722-5765",
"fax_number": "209-722-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416212",
"telephone_number": "209-722-5765",
"fax_number": "209-722-3296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PRESCRIPTION AND COMPOUNDING PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-29",
"last_updated": "2016-11-23",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO-OWNER",
"authorized_official_telephone_number": "209-722-5765",
"authorized_official_credential": "PHARM.D."
},
"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": "CA",
"license": "PHY50005",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA50005",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2121363",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Prescription and Compounding Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merced, CA
- Mariella Valladares, MHRS
- Valley Center for Pain Medicine and Regional Anesthesia Corp
- Valley Harvest Church of Merced (Center for HOPe & Restoration (Trauma/Recovery Center))
- Valley Onward
- Valley Performance Physical Therapy, Inc. (Valley Performance Physical Therapy)
- Valley Prescription and Compounding Pharmacy
- Valley Prescription and Compounding Pharmacy (VPCP LTC)
- Valley River Orthopedics and Sports Medicine
- Lekshmi Vallyathan, MD
- Andrea Valtierra-Gongora, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.