V C Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00002986 Issued in NM

Legal business name

V C ENTERPRISES INC

Practice address

1643 Isleta Blvd SW
Albuquerque, NM 87105-4633

Phone

(505) 877-1620

Fax

(505) 877-3309

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

John Castillo

Title

Owner, Ao

Phone

(505) 877-1620

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• VICTOR'S REGENT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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 4

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

• Teri M Rolan, PHARMACIST CLINICIAN

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Albuquerque, NM
  • NPI 1376739052
  NPD
• Javier Antonio Castillo, PHARMD

  • Pharmacist
  • Albuquerque, NM
  • NPI 1356749063
  NPD (past)
• Mariana Fermiano de Francisco

  • Pharmacist
  • Albuquerque, NM
  • NPI 1558913830
  NPD (past)
• Richard Alfred Wagner

  • Pharmacist
  • Albuquerque, NM
  • NPI 1306393046
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1942242516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054633",
            "telephone_number": "505-877-1620",
            "fax_number": "505-877-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054633",
            "telephone_number": "505-877-1620",
            "fax_number": "505-877-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V C ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER,  AO",
        "authorized_official_telephone_number": "505-877-1620"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00002986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056417",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57687",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTOR'S REGENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sasha Utz
• Kayleen Utzman
• Jann Gael Aubren-Camangia Uy, DO
• Matthew David Uy, D.O.
• Onelys Ariane Uzcategui, MD
• V.a.C, LLC
• VA Hospital
• VA Hospital Pharmacy
• VA Medical Center
• Debra Vaccaro, FNP-C

• Community/Retail Pharmacy in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.