Valle Verde Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY21728 Issued in CA

Legal business name

VALLE VERDE PHARMACY, INC.

Practice address

240 Green Valley Rd
Freedom, CA 95019-3137

Phone

(831) 728-2239

Fax

(831) 728-9386

NPI assigned

Dec 5, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Lindberg, PHARM.D.

Title

Pharmacy Manager

Phone

(831) 728-2239

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Valle Verde Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valle Verde Pharmacy, Inc

  • Compounding Pharmacy
  • Freedom, CA
  • NPI 1528106994
  NPD tax ID

Locations

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427032176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 GREEN VALLEY RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193137",
            "telephone_number": "831-728-2239",
            "fax_number": "831-728-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 GREEN VALLEY RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193137",
            "telephone_number": "831-728-2239",
            "fax_number": "831-728-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLE VERDE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "831-728-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY21728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "0567644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY21728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chung Ngoc Truong, DDS
• Helen H Truong, OD
• Angel A Valdez, PTA
• Valle Verde Pharmacy, Inc
• Valle Verde Pharmacy, Inc (Valle Verde Pharmacy)
• Miguel Vasquez, MD
• Jeric Canda Villaruz, MD
• Trang T Vu, PHARM D
• Walgreen Co (Walgreens #02810)
• Sarah Elaine Walker, DDS

• Pharmacy in Freedom, CA
• Providers in Freedom, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.