Active NPI
Vons Companies Inc
- Community/Retail Pharmacy
- Henderson, NV
National Provider Identifier
1386680148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH01178
- Legal business name
- VONS COMPANIES INC
- Practice address
- 2667 Windmill Pkwy
Henderson, NV 89074-3384 - Phone
- (702) 361-1157
- Fax
- (702) 361-0642
- NPI assigned
- Jun 21, 2006
- 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
- Kathy Giannakopoulos
- Title
- Enrollments Manager
- Phone
- (208) 395-3954
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH01178 | NV | Primary |
Addresses
Primary practice location
2667 Windmill Pkwy
Henderson, NV 89074-3384
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2802679 | Medicaid | NV | |
| 2056845 | Other | PK |
Other names 1
- VONS PHARMACY #2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831001282 | TX | Part B Supplier - Centralized Flu Biller | 2961314463 |
This NPI is an additional NPI on the enrollment Practice locations: Boise, ID |
| O20100930015736 | NV | DME Supplier - Pharmacy | 2961314463 | Practice locations: Henderson, NV |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568246400000",
"number": "1386680148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2667 WINDMILL PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890743384",
"telephone_number": "702-361-1157",
"fax_number": "702-361-0642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VONS COMPANIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2019-09-12",
"status": "A",
"authorized_official_last_name": "GIANNAKOPOULOS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "ENROLLMENTS MANAGER",
"authorized_official_telephone_number": "208-395-3954"
},
"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": "NV",
"license": "PH01178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2802679",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2056845",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VONS PHARMACY #2511",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VONS PHARMACY #2511",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.