Buena Vista Pharmacy

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

47358 Issued in CA

Legal business name

BUENA VISTA PHARMACY

Doing business as

BUENA VISTA PHARMACY

Practice address

24007 Ventura Blvd
Ste 240
Calabasas, CA 91302-1458

Phone

(800) 583-0058

Fax

(800) 921-4811

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey Gaines

Title

Ceo

Phone

(800) 583-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BUENA VISTA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1912021213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23679 CALABASAS RD",
            "address_2": "SUITE 800",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "800-583-0058",
            "fax_number": "800-921-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 VENTURA BLVD",
            "address_2": "STE 240",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021458",
            "telephone_number": "800-583-0058",
            "fax_number": "800-921-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-583-0058"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CA",
            "license": "47358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5614436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUENA VISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Mail Order Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.