Organization Active NPI

VM RX Inc

Doing business as Valley Market Pharmacy

  • Community/Retail Pharmacy
  • Reseda, CA
National Provider Identifier
1730597394
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY54667 Issued in CA
Legal business name
VM RX INC
Doing business as
Valley Market Pharmacy
Practice address
18353 Vanowen St
Suite J
Reseda, CA 91335-5498
Phone
(818) 774-9300
Fax
(818) 774-9301
NPI assigned
Jul 28, 2014
Last updated
Dec 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Mr. Christian F Hainka
Title
President/Owner
Phone
(818) 774-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY54667 CA Primary

Addresses

Primary practice location

18353 Vanowen St
Suite J
Reseda, CA 91335-5498

Mailing address

18353 Vanowen St
Suite J
Reseda, CA 91335-5498
Phone (818) 774-9300

Other identifiers 2

IdentifierTypeStateIssuer
56-54670OtherCANCPDP PROVIDER
PHY 54667OtherCACALIFORNIA STATE BOARD OF PHARMACY PERMIT

Other names 1

  • VALLEY MARKET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

18353 Vanowen St
Ste J
Reseda, CA 91335
Phone (818) 774-9300

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1730597394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18353 VANOWEN ST",
            "address_2": "SUITE J",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355498",
            "telephone_number": "818-774-9300",
            "fax_number": "818-774-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18353 VANOWEN ST",
            "address_2": "SUITE J",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355498",
            "telephone_number": "818-774-9300",
            "fax_number": "818-774-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VM RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "HAINKA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-774-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "56-54670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 54667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY MARKET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.