NPIMap

Organization Active NPI

Vista Pharmacies Inc

Doing business as Rialto Vista Pharmacy

  • Community/Retail Pharmacy
  • Rialto, CA
National Provider Identifier
1306944483
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45536 Issued in CA
Legal business name
VISTA PHARMACIES INC
Doing business as
Rialto Vista Pharmacy
Practice address
436 S Riverside Ave
Rialto, CA 92376-6523
Phone
(909) 875-7260
Fax
(909) 875-7265
NPI assigned
Sep 20, 2006
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
VISTA PHARMACIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mr. Thomas Posin
Title
Managing Partner
Phone
(626) 825-3899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY45536 CA Primary

Addresses

Primary practice location

436 S Riverside Ave
Rialto, CA 92376-6523

Mailing address

436 S Riverside Ave
Rialto, CA 92376-6523
Phone (626) 825-3899

Other identifiers 2

IdentifierTypeStateIssuer
PHA455360MedicaidCA
0563622OtherCANCPDP

Other names 1

  • Rialto 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
Part of
Vista Pharmacies Inc

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1306944483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766523",
            "telephone_number": "626-825-3899",
            "fax_number": "909-598-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766523",
            "telephone_number": "909-875-7260",
            "fax_number": "909-875-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA PHARMACIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISTA PHARMACIES INC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "POSIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "626-825-3899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA455360",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0563622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rialto Vista Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.