VLS Capitol Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53823 Issued in CA

Legal business name

VLS CAPITOL DRUGS INC

Practice address

4454 Van Nuys Blvd
Sherman Oaks, CA 91403-2912

Phone

(818) 905-8338

Fax

(818) 905-8748

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Rajashekar Sannidhi

Title

Owner

Phone

(818) 905-8338

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Capitol Drugs - Sherman Oaks Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• VLS Capitol Drugs Inc

  • Community/Retail Pharmacy
  • West Hollywood, CA
  • NPI 1952317273

  6901101609

  Same PAC ID

Tax ID family

VLS Capitol Drugs Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• VLS Capitol Drugs Inc

  • Long Term Care Pharmacy
  • West Hollywood, CA
  • NPI 1184452930
  NPD tax ID
• VLS Capitol Drugs Inc Sherman Oaks

  • Long Term Care Pharmacy
  • Sherman Oaks, CA
  • NPI 1750119590
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaclyn Balian

  • Pharmacist
  • Sherman Oaks, CA
  • NPI 1932574712
  NPD (past)
• Treza Shahmoradian, RPH

  • Pharmacist
  • Sherman Oaks, CA
  • NPI 1508261975
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1619990553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032912",
            "telephone_number": "818-905-8338",
            "fax_number": "818-905-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4454 VAN NUYS BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032912",
            "telephone_number": "818-905-8338",
            "fax_number": "818-905-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLS CAPITOL DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "SANNIDHI",
        "authorized_official_first_name": "RAJASHEKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-905-8338"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619990553",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Drugs - Sherman Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.