Vip Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48390 Issued in CA

Legal business name

VIP PHARMACY INC

Doing business as

Vip Pharmacy

Practice address

13193 Central Ave
Chino, CA 91710-4179

Phone

(909) 573-0123

Fax

(909) 573-0111

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Eric Sirich

Title

Pic

Phone

(909) 573-0123

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VIP PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vip Pharmacy Inc

  dba VIP Pharmacy

  • Community/Retail Pharmacy
  • Perris, CA
  • NPI 1225400518

  O20201130001276

  Same enrollment
• Vip Pharmacy Inc

  dba VIP Pharmacy

  • Community/Retail Pharmacy
  • Redlands, CA
  • NPI 1225728991

  O20201130001276

  Same enrollment

Tax ID family

Vip Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Vip Pharmacy Inc

  dba VIP Pharmacy

  • Community/Retail Pharmacy
  • Perris, CA
  • NPI 1225400518
  NPD tax ID
• Vip Pharmacy Inc

  dba VIP Pharmacy

  • Community/Retail Pharmacy
  • Redlands, CA
  • NPI 1225728991
  NPD tax ID

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1891838272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-573-0123",
            "fax_number": "909-573-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-573-0123",
            "fax_number": "909-573-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "SIRICH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "909-573-0123"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA483900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santiago Vladimir Villarreal, MD
• Yuri Villaruel
• Villaverde Chirporactic a Professional Corporation
• Michael S Villaverde, D.C.
• Darlene Marie Villavicencio
• Fenny Virgin, D.D.S.
• Visionary Retail Management Ca Inc (Visionworks)
• Vital Medical Billing Services LLC (Ie Diagnostics Laboratory)
• Vital Medical Oxygen & Supplies Inc
• Edna Vitug

• Community/Retail Pharmacy in Chino, CA
• Providers in Chino, 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 Feb 14, 2017; 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.