Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48402 Issued in CA

Legal business name

VILLAGE PHARMACY INC

Practice address

1225 Rose Ave
Selma, CA 93662-3227

Phone

(559) 891-8955

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Shannon Wong

Title

Ceo and Pharmacist

Phone

(559) 891-8930

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• VILLAGE PHARMACY Doing business as

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1831165455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623227",
            "telephone_number": "559-891-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO AND PHARMACIST",
        "authorized_official_telephone_number": "559-891-8930"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48402",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA484020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5616199",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sai Vang, NP-C
• Adriana Vasquez, MS
• Sarah Vasquez
• Johanna Liliana Velazquez
• Yash P Verma, MD, MPH
• Sayra Michel Villagomez, PPS
• Lola Violante
• Virender S. Kaleka, M.D.
• Vision Care Center, a Medical Group, Inc
• Vitality Medical Spa Inc.

• Community/Retail Pharmacy in Selma, CA
• Providers in Selma, 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 Oct 7, 2014; 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.