Valle Verde Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY21728 Issued in CA

Legal business name

VALLE VERDE PHARMACY, INC

Doing business as

Valle Verde Pharmacy

Practice address

240 Green Valley Rd
Freedom, CA 95019-3137

Phone

(831) 728-2239

Fax

(831) 728-9386

NPI assigned

Feb 1, 2007

Last updated

May 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas F Dembski Jr., PHARMD, RPH

Title

President

Phone

(831) 426-0200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Valle Verde Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1700924180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 GREEN VALLEY RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193137",
            "telephone_number": "831-728-2239",
            "fax_number": "831-728-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 GREEN VALLEY RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193137",
            "telephone_number": "831-728-2239",
            "fax_number": "831-728-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLE VERDE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "DEMBSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-426-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY21728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "05-67644",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA217280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LIC",
            "identifier": "PHY21728",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valle Verde Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Truong, DDS
• Chung Ngoc Truong, DDS
• Helen H Truong, OD
• Angel A Valdez, PTA
• Valle Verde Pharmacy, Inc
• Valle Verde Pharmacy, Inc.
• Miguel Vasquez, MD
• Jeric Canda Villaruz, MD
• Trang T Vu, PHARM D
• Walgreen Co (Walgreens #02810)

• Community/Retail Pharmacy in Freedom, CA
• Providers in Freedom, 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 May 2, 2011; 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.