Organization Active NPI

De Vera Inc

  • Compounding Pharmacy
  • Woodland Hills, CA
National Provider Identifier
1306177704
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PHY50194 Issued in CA
Legal business name
DE VERA INC
Practice address
21250 Califa St Ste 109
Woodland Hills, CA 91367-5031
Phone
(818) 610-1229
Fax
(818) 715-9710
NPI assigned
Jan 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Mr. Pierre Pelayo Narvades, PHARMDNPI 1831789114
Title
President/Pharmacist
Phone
(818) 610-1229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50194 CA
Compounding Pharmacy 3336C0004X PHY50194 CA Primary

Addresses

Primary practice location

21250 Califa St Ste 109
Woodland Hills, CA 91367-5031

Mailing address

21250 Califa St
Suite 109
Woodland Hills, CA 91367-5001
Phone (818) 610-1229

Other identifiers 1

IdentifierTypeStateIssuer
PHY 50194OtherCASTATE BOARD OF PHARMACY

Other names 1

  • ECOMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

21250 Califa St
Ste 109
Woodland Hills, CA 91367
Phone (818) 610-1229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1306177704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 CALIFA ST",
            "address_2": "SUITE 109",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675001",
            "telephone_number": "818-610-1229",
            "fax_number": "818-715-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 CALIFA ST STE 109",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675031",
            "telephone_number": "818-610-1229",
            "fax_number": "818-715-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE VERA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "NARVADES",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "PELAYO",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "818-610-1229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50194",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY50194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PHY 50194",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECOMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.