Vista Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 53799 Issued in CA

Legal business name

VISTA CARE PHARMACY INC

Doing business as

Vista Care Pharmacy

Practice address

16055 Foothill Blvd
Fontana, CA 92335-8053

Phone

(909) 428-1400

Fax

(909) 428-1500

NPI assigned

Dec 11, 2015

Last updated

Dec 17, 2015By 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

Mr. Amir A. Rao

Title

President/Owner

Phone

(909) 428-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VISTA CARE PHARMACY Doing business as

Locations

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.

• Subhadra Rani

  • Pharmacist
  • Fontana, CA
  • NPI 1497204671
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1821463134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358053",
            "telephone_number": "909-428-1400",
            "fax_number": "909-428-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358053",
            "telephone_number": "909-428-1400",
            "fax_number": "909-428-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-428-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 53799",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISTA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fontana, CA
• Providers in Fontana, CA by specialty
• Community/Retail Pharmacy in California

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