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Organization Active NPI

Vista Community Clinic - Pier View Way Dispensary

  • Non-Pharmacy Dispensing Site
  • Oceanside, CA
National Provider Identifier
1891911681
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
CLN932 Issued in CA
Legal business name
VISTA COMMUNITY CLINIC - PIER VIEW WAY DISPENSARY
Practice address
818 Pier View Way
Oceanside, CA 92054-2803
Phone
(760) 631-5250
NPI assigned
Apr 18, 2007
Organization subpart
Yes
Parent organization
VISTA COMMINTY CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mr. Tracy Muenz
Title
Revenue Manager
Phone
(760) 726-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X CLN932 CA Primary

Addresses

Primary practice location

818 Pier View Way
Oceanside, CA 92054-2803

Mailing address

1000 Vale Terrace Dr
Vista, CA 92084-5218

Other identifiers 1

IdentifierTypeStateIssuer
0540319OtherCANATIONAL ASSOCIATION OF BOARDS OF PHARMACIES

National Provider Directory

National Provider Directory
Tax ID family
Vista Community Clinic - Pier View Way Dispensary24 organizations share this tax ID, including this one
Part of
Vista Community Clinic - Pier View Way Dispensary

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1891911681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VALE TERRACE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 PIER VIEW WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542803",
            "telephone_number": "760-631-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA COMMUNITY CLINIC - PIER VIEW WAY DISPENSARY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISTA COMMINTY CLINIC",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MUENZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "760-726-0065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "CLN932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF BOARDS OF PHARMACIES",
            "identifier": "0540319",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.