Active NPI
VVG-RX
- Community/Retail Pharmacy
- Fresno, CA
National Provider Identifier
1598911364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY49089
- Legal business name
- VVG-RX
- Doing business as
- VVG/Rx
- Practice address
- 3030 N Fresno St
Ste 107
Fresno, CA 93703-1124 - Phone
- (559) 227-7726
- Fax
- (559) 227-7763
- NPI assigned
- Aug 13, 2008
- Last updated
- Dec 24, 2008
- 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
- Gregory Eritzian
- Title
- President
- Phone
- (559) 916-0346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY49089 | CA | Primary |
Addresses
Primary practice location
3030 N Fresno St
Ste 107
Fresno, CA 93703-1124
Mailing address
3030 N Fresno St
Ste 107
Fresno, CA 93703-1124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5631470 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- VVG/Rx
National Provider Directory
National Provider DirectoryLocations
3030 N Fresno St
Ste 107
Fresno, CA 93703
Phone (559) 227-7726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230076800000",
"number": "1598911364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N FRESNO ST",
"address_2": "STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N FRESNO ST",
"address_2": "STE 107",
"city": "FRESNO",
"state": "CA",
"postal_code": "937031124",
"telephone_number": "559-227-7726",
"fax_number": "559-227-7763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VVG-RX",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2008-12-24",
"status": "A",
"authorized_official_last_name": "ERITZIAN",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-916-0346"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY49089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5631470",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VVG/Rx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.