Veterans Home of California-Chula Vista

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHE44723 Issued in CA

Legal business name

VETERANS HOME OF CALIFORNIA-CHULA VISTA

Doing business as

Veterans Home of Ca Chula Vista

Practice address

700 E Naples CT
Chula Vista, CA 91911-6821

Phone

(619) 482-6020

Fax

(619) 205-1905

NPI assigned

Jan 24, 2007

Last updated

May 1, 2017By 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

Harriette Bannister, BSPNPI 1073879771

Title

Director of Pharmacy

Phone

(619) 482-6020

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• VETERANS HOME OF CA CHULA VISTA Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harriette L. Bannister, B.S. PHARMACY

  • Pharmacist
  • Chula Vista, CA
  • NPI 1073879771
  NPD Authorized official
• Fe Baylon

  • Geriatric Pharmacist
  • Chula Vista, CA
  • NPI 1376202150
  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1730234493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E NAPLES CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116821",
            "telephone_number": "619-482-6020",
            "fax_number": "619-205-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NAPLES CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116821",
            "telephone_number": "619-482-6020",
            "fax_number": "619-205-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HOME OF CALIFORNIA-CHULA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "HARRIETTE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "619-482-6020",
        "authorized_official_credential": "BSP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHE44723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA447230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VETERANS HOME OF CA CHULA VISTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Henry Verdolin, M.D.
• Aries Joselynne Vergara
• Sandra Vergara
• Jessica Vergel de Dios, DMD
• Veterans Home of California - Chula Vista
• Todorka Ivanova Vetrenski
• Victor H. Carrillo Professional Dental Corp.
• Victor J Mora D.D.S. ,Apc
• Victor J. Mora D.D.S., Apc
• Victor Mora D.D.S.

• Long Term Care Pharmacy in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.