NPIMap

Organization Active NPI

Vons Pharmacy #6770

  • Community/Retail Pharmacy
  • Arcadia, CA
National Provider Identifier
1750726303
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51070 Issued in CA
Legal business name
VONS PHARMACY #6770
Practice address
618 Michillinda Avenue, 3Rd Floor
Arcadia, CA 91007
Phone
(626) 821-7726
Fax
(623) 869-1270
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SAFEWAY STORES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Paul Knerr, PHARMACISTNPI 1134429285
Title
V.P. Pharmacy
Phone
(626) 821-7726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY51070 CA Primary

Addresses

Primary practice location

618 Michillinda Avenue, 3Rd Floor
Arcadia, CA 91007

Mailing address

618 Michillinda Avenue, 3Rd Floor
Arcadia, CA 91007
Phone (626) 821-7726

Other names 1

  • The Vons Companies, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Vons Pharmacy 18010 organizations share this tax ID, including this one
Part of
Safeway Pharmacy 1234

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1750726303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MICHILLINDA AVENUE, 3RD FLOOR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-821-7726",
            "fax_number": "623-869-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MICHILLINDA AVENUE, 3RD FLOOR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "626-821-7726",
            "fax_number": "623-869-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONS PHARMACY #6770",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEWAY STORES INC.",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "KNERR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "V.P. PHARMACY",
        "authorized_official_telephone_number": "626-821-7726",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vons Companies, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.