Organization Active NPI

Lavina Pharmacy Inc

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1740927029
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LAVINA PHARMACY INC
Practice address
8251 Westminster Blvd Ste 100
Westminster, CA 92683-3370
Phone
(714) 414-9475
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Bill Loc NguyenNPI 1427305457
Title
Pic
Phone
(714) 414-9475

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8251 Westminster Blvd Ste 100
Westminster, CA 92683-3370

Mailing address

9906 Dandelion Ave
Fountain Valley, CA 92708-2030
Phone (714) 414-9475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220623002374 CA Part B Supplier - Pharmacy 7517346422 Practice locations: Westminster, CA

National Provider Directory

National Provider Directory
Tax ID family
Lavina Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8251 Westminster Blvd
Westminster, CA 92683

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1740927029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 DANDELION AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082030",
            "telephone_number": "714-414-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 WESTMINSTER BLVD STE 100",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833370",
            "telephone_number": "714-414-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVINA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BILL",
        "authorized_official_middle_name": "LOC",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "714-414-9475"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.