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VILLA PARK PHARMACY
NPI 1174078075
Pharmacy - Community/Retail Pharmacy in Villa Park, CA

Active since August 20, 2016CLIA 05D2155695 · Waiver
17821 SANTIAGO BLVD, VILLA PARK, CA 92861(714) 998-3030(714) 998-6060 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Villa Park Pharmacy NPPES

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

VILLA PARK PHARMACY (NPI 1174078075) is a healthcare organization registered as a community/retail pharmacy in Villa Park, California and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Tobias Porter, Corp Secretary, as its authorized official.

NPPES Registry Identity

NPI1174078075
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVPRP, INC.
Location Address17821 SANTIAGO BLVDVilla Park, CA 92861-4133
Mailing Address17821 Santiago BlvdVilla Park, CA 92861-4133 · (714) 998-3030 · Fax (714) 998-6060
Phone(714) 998-3030
Fax(714) 998-6060
Organization SubpartNo
Authorized OfficialTobias PorterCorp Secretary · (714) 998-3030
Enumeration DateAugust 20, 2016
✔ NPI 1174078075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY53366
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.
17821 SANTIAGO BLVD, Villa Park, CA 92861
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Other Names 1

Doing Business AsVilla Park Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 05D2155695

Villa Park Pharmacy · Villa Park, CA
Active · expires Oct 2, 2026
CLIA Number05D2155695
Laboratory TypePharmacy
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorAdam Bollenbach
Laboratory Phone(714) 998-3030
Laboratory LocationVilla Park Pharmacy17821 Santiago Blvd, Villa Park, CA 92861
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
98 services98 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
90 services90 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Villa Park Pharmacy carries, from the Medicare DMEPOS supplier directory.

Villa Park Pharmacy

DMEPOS supplier · Villa Park, CAOperated by Vprp Inc
✔

Accepts Medicare assignment

Villa Park Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20406545
Medicare Participant SinceApril 1, 2021
Supplier Location17821 Santiago BlvdVilla Park, CA 92861
Phone(714) 998-3030
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

TUSTIN COMMUNITY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
17821 SANTIAGO BLVD
VILLA PARK, CA 92861
Orange County (714) 998-3030
DR. ADAM BOLLENBACH PHARMD
Pharmacist
17821 SANTIAGO BLVD
VILLA PARK, CA 92861
Orange County (714) 998-3030
VPRP, INC.
Pharmacy (Long Term Care Pharmacy)
17821 SANTIAGO BLVD
VILLA PARK, CA 92861
Orange County (714) 998-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vprp, Inc.'s NPI number?

The NPI number for Vprp, Inc. is 1174078075. It was assigned to this organization in the NPPES registry on August 20, 2016. The provider is doing business as Villa Park Pharmacy.

Where is Vprp, Inc. located?

Vprp, Inc. is located at 17821 Santiago Blvd, Villa Park, CA 92861. The listed phone number is (714) 998-3030.

What is Vprp, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Vprp, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Villa Park Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Vprp, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2155695) is associated with this NPI, valid through October 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vprp, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Vprp, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vprp, Inc. was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.