Active NPI
Vernon Frank Vierra, BS IN PHARMACY
- Pharmacist
- Modesto, CA
National Provider Identifier
1669771929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22774
- Practice address
- 3900 Pelandale Ave Ste 500a
Modesto, CA 95356-9104 - Phone
- (209) 545-0766
- Fax
- (209) 545-0611
- NPI assigned
- Mar 24, 2011
- Last updated
- Mar 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22774 | CA | Primary |
Addresses
Primary practice location
3900 Pelandale Ave Ste 500a
Modesto, CA 95356-9104
Mailing address
3900 Pelandale Ave Ste 500a
Modesto, CA 95356-9104
Phone (209) 545-0766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1669771929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 PELANDALE AVE STE 500A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569104",
"telephone_number": "209-545-0766",
"fax_number": "209-545-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 PELANDALE AVE STE 500A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569104",
"telephone_number": "209-545-0766",
"fax_number": "209-545-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERRA",
"first_name": "VERNON",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"credential": "BS IN PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "22774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.