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VONS PHARMACY #1795
NPI 1194761957
Pharmacy - Community/Retail Pharmacy in Henderson, NV

Active since June 21, 2006CLIA 29D2252478 · Waiver
2511 ANTHEM VILLAGE DR, HENDERSON, NV 89052(702) 617-4526(702) 617-8974 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2018, Jul 19, 2018, Jun 1, 2017 and 1 more (4 updates tracked since 2016).

About Vons Pharmacy #1795 NPPES

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

VONS PHARMACY #1795 (NPI 1194761957) is a healthcare organization registered as a community/retail pharmacy in Henderson, Nevada and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1194761957
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVONS COMPANIES INC
Location Address2511 ANTHEM VILLAGE DRHenderson, NV 89052-5504
Mailing Address250 E Parkcenter Blvd, Mailstop Sec 2-bBoise, ID 83706-3940
Phone(702) 617-4526
Fax(702) 617-8974
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJune 21, 2006
Last NPPES UpdateNovember 1, 20184 updates tracked since enumeration
✔ NPI 1194761957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NV · PH01662
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
2511 ANTHEM VILLAGE DR, Henderson, NV 89052
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Other Names 1

Doing Business AsVons Pharmacy #1795

Other Identifiers 2

Other2051523Pk
Medicaid2802334NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness 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 29D2252478

Vons Pharmacy #1795 · Henderson, NV
Active · expires Feb 10, 2028
CLIA Number29D2252478
Laboratory TypePharmacy
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorLan T Yancy
Laboratory Phone(702) 617-4526
Laboratory LocationVons Pharmacy #17952511 Anthem Village Dr, Henderson, NV 89052
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 Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Vons Pharmacy #1795 carries, from the Medicare DMEPOS supplier directory.

Vons Pharmacy #1795

DMEPOS supplier · Henderson, NVOperated by Vons Companies Inc
⋮

Does not accept Medicare assignment

Vons Pharmacy #1795 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20465987
Medicare Participant SinceJanuary 1, 2017
Supplier Location2511 Anthem Village DrHenderson, NV 89052
Phone(702) 617-4526
Supplier Specialties
Pharmacy Grocery Store

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.

MS. JUANA M JENSEN RPH
Pharmacist
2511 ANTHEM VILLAGE DR
HENDERSON, NV 89052
Clark County (702) 617-4526
LAN T YANCY PHARMD, RPH
Pharmacist
2511 ANTHEM VILLAGE DR
HENDERSON, NV 89052
Clark County (702) 617-4526
ARNOLD SADKUS PHARM.D
Pharmacist
2511 ANTHEM VILLAGE DR
HENDERSON, NV 89052
Clark County (702) 617-4526

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 Vons Companies Inc's NPI number?

The NPI number for Vons Companies Inc is 1194761957. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Vons Pharmacy #1795.

Where is Vons Companies Inc located?

Vons Companies Inc is located at 2511 Anthem Village Dr, Henderson, NV 89052. The listed phone number is (702) 617-4526.

What is Vons Companies Inc's specialty?

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

Does Vons Companies Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Vons Pharmacy #1795 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Vons Companies Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2252478) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vons Companies Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 41 other insurers list Vons Companies 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 Vons Companies Inc was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.