Organization Active NPI

Lees Family Investments Inc

Doing business as Visitacion Valley Pharmacy

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1629018379
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY31014 Issued in CA
Legal business name
LEES FAMILY INVESTMENTS INC
Doing business as
Visitacion Valley Pharmacy
Practice address
100 Leland Ave
San Francisco, CA 94134-2806
Phone
(415) 239-5811
Fax
(415) 239-5812
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Oliver Lee, PHARM D
Title
Pharmacist
Phone
(415) 239-5811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY31014 CA Primary

Addresses

Primary practice location

100 Leland Ave
San Francisco, CA 94134-2806

Mailing address

100 Leland Ave
San Francisco, CA 94134-2806
Phone (415) 239-5811

Other identifiers 2

IdentifierTypeStateIssuer
PHA310140MedicaidCA
0524783OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • VISITACION VALLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lees Family Investments Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

100 Leland Ave
San Francisco, CA 94134
Phone (415) 239-5811

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1629018379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LELAND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342806",
            "telephone_number": "415-239-5811",
            "fax_number": "415-239-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LELAND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342806",
            "telephone_number": "415-239-5811",
            "fax_number": "415-239-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEES FAMILY INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "415-239-5811",
        "authorized_official_credential": "PHARM D"
    },
    "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": "PHY31014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA310140",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0524783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISITACION VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.