Active NPI
Anton Corp
- Community/Retail Pharmacy
- Vista, CA
National Provider Identifier
1689674889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY50583
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hashem Heiati
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2129753 | Other | PK |
Other names 1
- Med-Rx Pharmacy and Compounding
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210329002576 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800056631 | Practice locations: Vista, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Vista, CA
- NPI 1992397780
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.