VONS PHARMACY #1897
NPI 1023047057
Pharmacy - Community/Retail Pharmacy in Santee, CA

Active since July 02, 2006CLIA 05D2065503 · Waiver
9643 MISSION GORGE RD, SANTEE, CA 92071(619) 596-5977(619) 596-5980 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2018, Jul 19, 2018, Oct 14, 2016 (3 updates tracked since 2016).

About Vons Pharmacy #1897 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VONS PHARMACY #1897 (NPI 1023047057) is a healthcare organization registered as a community/retail pharmacy in Santee, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1023047057
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVONS COMPANIES INC
Location Address9643 MISSION GORGE RDSantee, CA 92071-3807
Mailing Address250 E Parkcenter Blvd, Mailstop Sec 2-bBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 282-3834
Fax(619) 596-5980
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateNovember 1, 20183 updates tracked since enumeration
NPI 1023047057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY52341
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
9643 MISSION GORGE RD, Santee, CA 92071

Other Names 1

Doing Business AsVons Pharmacy #1897

Other Identifiers 2

Other1998171Pk
Medicaid1023047057CA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2065503

Vons Pharmacy #1897 · Santee, CA
Active · expires Aug 3, 2027
CLIA Number05D2065503
Laboratory TypePharmacy
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorTriet Vo
Laboratory Phone(619) 596-5977
Laboratory LocationVons Pharmacy #18979643 Mission Gorge Rd, Santee, CA 92071
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20466065
Accepts Medicare Assignment
NO
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
9643 MISSION GORGE RD
SANTEE, CA 92071
Pharmacist
9643 MISSION GORGE RD
SANTEE, CA 92071
Pharmacy (Community/Retail Pharmacy)
9643 MISSION GORGE RD
SANTEE, CA 92071

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023047057, enumerated as an "organization" on July 02, 2006.

The provider is located at 9643 MISSION GORGE RD SANTEE, CA 92071 and the phone number is (619) 596-5977.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Arizona. Please consult your insurance carrier or call the provider to verify.