Vermont V.O. Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VERMONT V.O. PHARMACY, INC.

Doing business as

Vermont V.O. Pharmacy

Practice address

2655 W Olympic Blvd Ste 104
Los Angeles, CA 90006-2800

Phone

(213) 480-1503

Fax

(213) 480-1551

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Edward Lee, PHARMDNPI 1770973950

Title

Cfo

Phone

(213) 480-1503

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vermont V.O. Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 7

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

• Edward Lee, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Los Angeles, CA
  • NPI 1770973950
  NPD (past) Authorized official
• Seon Yeong Heo, PHARMD

  • Pharmacist
  • Los Angeles, CA
  • NPI 1265989883
  NPD (past)
• Stacey Sooyeon Kim

  • Pharmacist
  • Los Angeles, CA
  • NPI 1598489379
  NPD (past)
• Sun Min Lee, RPH

  • Pharmacist
  • Los Angeles, CA
  • NPI 1265643506
  NPD (past)
• Sol Oh

  • Pharmacist
  • Los Angeles, CA
  • NPI 1073346243
  NPD (past)
• Joohyun Song

  • Pharmacist
  • Los Angeles, CA
  • NPI 1144770488
  NPD (past)
• Jeeyeoun Kim, JYK

  • Pharmacist
  • Washington, DC
  • NPI 1538673827
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1346236973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-480-1503",
            "fax_number": "213-480-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-480-1503",
            "fax_number": "213-480-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT V.O. PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-480-1503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA379110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermont V.O. Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vermont Healthcare Center Inc
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• Vermont Pharmacy & Medical Supplies Inc
• Vermont Podiatry Group
• Vermont V.O. Pharmacy, Inc.
• Vermont Village Community Development Corporation
• Vermont Workers Comp Center, Inc.
• Vermontcare Center
• Sarah Elizabeth Vermuele, DC

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 14, 2022; 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.

Verify at the official NPI Registry.