La Veta Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LA VETA PHARMACY LLC

Doing business as

Orange Plaza Pharmacy

Practice address

1010 W la Veta Ave Ste 130
Orange, CA 92868-4301

Phone

(714) 550-9798

Fax

(714) 550-9336

NPI assigned

Sep 25, 2008

Last updated

Oct 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen T Hom, PHARM DNPI 1063847523

Title

Managing Member

Phone

(714) 550-9798

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ORANGE PLAZA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 4

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

• Lido Pharmacy LLC

  dba Newport Lido Pharmacy

  • Community/Retail Pharmacy
  • Newport Beach, CA
  • NPI 1164550885

  O20120927000485

  Same enrollment
• Pacific Pharmacy Group

  dba Fallbrook Pharmacy

  • Community/Retail Pharmacy
  • Fallbrook, CA
  • NPI 1235208570

  O20120927000485

  Same enrollment
• Peachland Pharmacy, Inc.

  dba Valencia Pharmacy

  • Community/Retail Pharmacy
  • Newhall, CA
  • NPI 1073938114

  O20120927000485

  Same enrollment
• Peachland Pharmacy, Inc.

  dba Valencia Pharmacy LTC

  • Long Term Care Pharmacy
  • Newhall, CA
  • NPI 1700952306

  O20120927000485

  Same enrollment

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Thomas Hom, PHARM.D.

  • Pharmacist
  • San Diego, CA
  • NPI 1063847523
  NPD Authorized official

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1982854956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 130",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684301",
            "telephone_number": "714-550-9798",
            "fax_number": "714-550-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 130",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684301",
            "telephone_number": "714-550-9798",
            "fax_number": "714-550-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VETA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "714-550-9798",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60036",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORANGE PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• La Regional Surgical Center (OC Regional Surgical Center)
• Brad Marc La Rocca, MD
• Katherine La Soya
• Albert Russell La Spada, MD
• La Veta Healthcare, Inc. (Mainplace Post Acute)
• La Veta Surgical Center
• Tony Hieu La, PHARMD
• Sana Labanieh
• Rosina S Labeaune, RBT
• Robert Lee Labossiere

• Community/Retail Pharmacy in Orange, CA
• Providers in Orange, 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 Oct 29, 2024; 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.