VERMONT V.O. PHARMACY
NPI 1346236973
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Q: What is Vermont V.O. Pharmacy, Inc.'s NPI number?

The NPI number for Vermont V.O. Pharmacy, Inc. is 1346236973. It was assigned to this organization in the NPPES registry on September 20, 2005. The provider is doing business as Vermont V.O. Pharmacy.

Q: What is Vermont V.O. Pharmacy, Inc.'s specialty?

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

Active since September 20, 2005

2655 W OLYMPIC BLVD STE 104, LOS ANGELES, CA 90006(213) 480-1503(213) 480-1551 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2022, Nov 17, 2020, Apr 8, 2019 (3 updates tracked since 2019).

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About Vermont V.o. Pharmacy NPPES

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

VERMONT V.O. PHARMACY (NPI 1346236973) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since September 2005. The organization lists Edward Lee, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346236973

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameVERMONT V.O. PHARMACY, INC.

Location Address2655 W OLYMPIC BLVD STE 104Los Angeles, CA 90006-2800

Mailing Address2655 W Olympic Blvd Ste 104Los Angeles, CA 90006-2800 · (213) 480-1503 · Fax (213) 480-1551

Phone(213) 480-1503

Fax(213) 480-1551

Organization SubpartNo

Authorized OfficialEdward LeeCfo · (213) 480-1503

Enumeration DateSeptember 20, 2005

Last NPPES UpdateApril 14, 20223 updates tracked since enumeration

NPPES CertifiedApril 14, 2022

✔ NPI 1346236973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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 ListedPharmacyTaxonomy 333600000X

2655 W OLYMPIC BLVD STE 104, Los Angeles, CA 90006

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Other Names 1

Doing Business AsVermont V.o. Pharmacy

Other Identifiers 1

MedicaidPHA379110CA

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 05D2307516

Vermont V.O. Pharmacy · Los Angeles, CA

Expired · Jul 9, 2026

CLIA Number05D2307516

Laboratory TypePharmacy

Certificate Effective DateJuly 10, 2024

Certificate Expiration DateJuly 9, 2026

Laboratory DirectorEdward H. Lee

Laboratory Phone(213) 480-1503

Laboratory LocationVermont V.O. Pharmacy2655 W Olympic Blvd, Ste 104, Los Angeles, CA 90006

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.

164 services162 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.

134 services134 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.

38 services38 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.

38 services38 patients

Other Providers at the Same Location NPPES 6

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

SOL OH

Pharmacist