Organization Active NPI

VVG-RX

  • Community/Retail Pharmacy
  • Fresno, CA
National Provider Identifier
1598911364
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY49089 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5631470OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • VVG/Rx Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.