Organization Active NPI

Anton Corp

  • Community/Retail Pharmacy
  • Vista, CA
National Provider Identifier
1689674889
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50583 Issued in CA
Legal business name
ANTON CORP
Practice address
1031 E Vista Way
Vista, CA 92084-4606
Phone
(760) 724-7125
Fax
(760) 724-7127
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Hashem HeiatiNPI 1992397780
Title
Owner/Pic
Phone
(760) 724-7125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50583 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1031 E Vista Way
Vista, CA 92084-4606

Mailing address

1031 E Vista Way
Vista, CA 92084-4606
Phone (760) 724-7125

Other identifiers 1

IdentifierTypeStateIssuer
2129753OtherPK

Other names 1

  • Med-Rx Pharmacy and Compounding Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210329002576 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6800056631 Practice locations: Vista, CA

National Provider Directory

National Provider Directory

Locations

1031 E Vista Way
Vista, CA 92084
Phone (760) 724-7125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1689674889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844606",
            "telephone_number": "760-724-7125",
            "fax_number": "760-724-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844606",
            "telephone_number": "760-724-7125",
            "fax_number": "760-724-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTON CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "HEIATI",
        "authorized_official_first_name": "HASHEM",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "760-724-7125"
    },
    "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": "PHY50583",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129753",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Rx Pharmacy and Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.