Vista Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VISTA DRUG

Doing business as

vista drug

Practice address

821 W 19TH St
Costa Mesa, CA 92627-3518

Phone

(949) 642-4500

NPI assigned

Oct 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert Budhu

Title

Owner

Phone

(949) 642-4500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• vista drug Doing business as

Locations

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1427134717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W 19TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273518",
            "telephone_number": "949-642-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W 19TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273518",
            "telephone_number": "949-642-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BUDHU",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-642-4500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0588787",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LIC #",
            "identifier": "PHY339360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vista drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "vista drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Costa Mesa, CA
• Providers in Costa Mesa, 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 Nov 22, 2024; 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.