Via Lido Drug Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

56189 Issued in CA

Legal business name

VIA LIDO DRUG CORPORATION

Doing business as

Via Lido Drugs

Practice address

3445 Via Lido
Newport Beach, CA 92663-3908

Phone

(949) 723-8921

Fax

(949) 723-8929

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

David Allan Olsen

Title

Vice President

Phone

(949) 715-9041

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VIA LIDO DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caylin Effendi, PHARM.D.

  • Pharmacist
  • Newport Beach, CA
  • NPI 1407623275
  NPD
• Jason Loc Tran, PHARMD

  • Pharmacist
  • Newport Beach, CA
  • NPI 1104456334
  NPD
• Tina Zomorodian, PHARMD

  • Pharmacist
  • Newport Beach, CA
  • NPI 1427683556
  NPD
• Greg Knight

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Newport Beach, CA
  • NPI 1639588668
  NPD (past)
• Deborah Lotzof

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Newport Beach, CA
  • NPI 1942619911
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1932114535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 VIA LIDO",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "949-723-8921",
            "fax_number": "949-723-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 VIA LIDO",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "949-723-8921",
            "fax_number": "949-723-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIA LIDO DRUG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "949-715-9041"
    },
    "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": "56189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA40860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIA LIDO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIA LIDO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ravnyssa Kaur Verma, DNP, FNP-C
• Lindsay Vermeeren, ESTHETICIAN
• Mariana Linda Veronica
• Vertex Therapy, Inc
• Tinaz S Vevaina, M.A., M.F.T.
• Vibe Wellness a Jared Young Chiropractic PC
• Jan Raymond Vicencio, N.P.
• Tiffany Vicencio
• Victoria Adams (Newport Hand Center)
• Richard Blake Viehe, D.P.M.

• Community/Retail Pharmacy in Newport Beach, CA
• Providers in Newport Beach, 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 Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.