Organization Active NPI

CV Health Services Inc

  • Community/Retail Pharmacy
  • Panorama City, CA
National Provider Identifier
1386734044
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44275 Issued in CA
Legal business name
CV HEALTH SERVICES INC
Practice address
8215 Van Nuys Blvd Ste 102
Panorama City, CA 91402-4846
Phone
(818) 787-4490
Fax
(818) 787-4494
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Joseph Vivo, PHARMDNPI 1851234496
Title
Pres
Phone
(818) 787-4490

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
Community/Retail Pharmacy 3336C0003X PHY44275 CA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

8215 Van Nuys Blvd Ste 102
Panorama City, CA 91402-4846

Mailing address

8215 Van Nuys Blvd Ste 102
Panorama City, CA 91402-4846
Phone (818) 787-4490

Other identifiers 2

IdentifierTypeStateIssuer
1993374OtherPK
PHA442750MedicaidCA

Other names 1

  • MEDICAL GROUP PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224002048 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7315081411 Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Locations

8215 Van Nuys Blvd
Ste 102
Panorama City, CA 91402
Phone (818) 787-4490

14860 Roscoe Blvd
Ste 102
Panorama City, CA 91402
Phone (818) 787-4490

Practitioners & affiliated clinicians

Practitioners 2

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1386734044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 102",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024846",
            "telephone_number": "818-787-4490",
            "fax_number": "818-787-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 102",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024846",
            "telephone_number": "818-787-4490",
            "fax_number": "818-787-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CV HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "VIVO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "818-787-4490",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44275",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1993374",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA442750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL GROUP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL GROUP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.