Food4Less of Southern California Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH01766 Issued in NV

Legal business name

FOOD4LESS OF SOUTHERN CALIFORNIA INC

Practice address

3013 W Craig Rd
N Las Vegas, NV 89032-0598

Phone

(702) 648-1608

Fax

(702) 648-4730

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Angela Truster

Title

Pharmacy Ecommerce Manager

Phone

(513) 387-7113

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FOOD4LESS PHARMACY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  • Community/Retail Pharmacy
  • Woodstock, GA
  • NPI 1720012560

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1487722385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 W CRAIG RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890320598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 W CRAIG RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890320598",
            "telephone_number": "702-648-1608",
            "fax_number": "702-648-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD4LESS OF SOUTHERN CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "TRUSTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHARMACY ECOMMERCE MANAGER",
        "authorized_official_telephone_number": "513-387-7113"
    },
    "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": "PH01766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002802495",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2988597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOD4LESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Fleming Overton
• Anna Flores, FNP
• Margarita Flores
• Pamela Flowers
• FMT Behavioral Health Services
• Footsteps Toward Solutions LLC
• Brandee Mes'Shon Foster
• Yvonne Beverly France, RN
• Jontavia Dawayna Franklin
• Freeman Enrichment Center Inc

• Community/Retail Pharmacy in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.