Organization Active NPI

Health Ventures Inc

  • Community/Retail Pharmacy
  • Berkeley, CA
National Provider Identifier
1730411836
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50163 Issued in CA
Legal business name
HEALTH VENTURES INC
Doing business as
Milvia Outpatient Pharmacy
Practice address
2001 Dwight Way RM 1380D
Berkeley, CA 94704-2608
Phone
(510) 204-6550
Fax
(510) 204-5895
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Chuck Prosper, RPH
Title
VP Health Ventures, Inc.
Phone
(510) 655-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50163 CA Primary

Addresses

Primary practice location

2001 Dwight Way RM 1380D
Berkeley, CA 94704-2608

Mailing address

PO Box 742432
Los Angeles, CA 90074-2432
Phone (510) 204-6550

Other identifiers 1

IdentifierTypeStateIssuer
2123949OtherPK

Other names 1

  • Milvia Outpatient Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2001 Dwight Way
Rm 1380D
Berkeley, CA 94704
Phone (510) 204-6550

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1730411836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742432",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742432",
            "telephone_number": "510-204-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 DWIGHT WAY RM 1380D",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042608",
            "telephone_number": "510-204-6550",
            "fax_number": "510-204-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "PROSPER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP HEALTH VENTURES, INC.",
        "authorized_official_telephone_number": "510-655-4000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milvia Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.