VONS PHARMACY #2511 (VONS COMPANIES INC) NPI 1386680148

Pharmacy (Community/Retail Pharmacy) in Henderson, NV

Organization Pharmacy Community/Retail Pharmacy Medicare Supplier

About VONS PHARMACY #2511 (VONS COMPANIES INC)

Vons Pharmacy #2511 (vons Companies Inc) is a provider established in Henderson, Nevada specializing in pharmacy. The NPI number of Vons Pharmacy #2511 (vons Companies Inc) is 1386680148 and was assigned on June 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PH01178 (NV). The provider is registered as an organization and their NPI record was last updated September 2019. The provider's is doing business as Vons Pharmacy #2511. The authorized official of this NPI record is Kathy Giannakopoulos (Enrollments Manager)

The provider accepts Medicare assignment for all durable medical equipment and supplies. Vons Pharmacy #2511 carries the following product categories: home blood glucose monitors, test strips, lancets, shoes, socks, insoles, met pads, heel pads, heel spur pads, pouches, paste, powder, barrier wipes, gauze, elastic bandages, adhesive tape, etc

NPI

1386680148

Provider NameVONS PHARMACY #2511 (VONS COMPANIES INC)
Provider Location Address2667 WINDMILL PKWY HENDERSON, NV 89074
Provider Mailing Address250 E PARKCENTER BLVD BOISE, ID 83706
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameVONS PHARMACY #2511
Other Name TypeDoing Business As (3)
Enumeration Date06-21-2006
Last Update Date09-12-2019

Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.PH01178
License StateNV
Taxonomy DescriptionA 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.

Business Address

VONS PHARMACY #2511
2667 WINDMILL PKWY
HENDERSON, NV
ZIP 89074
Phone: (702) 361-1157
Fax: (702) 361-0642

Get Directions

Mailing Address

VONS PHARMACY #2511
250 E PARKCENTER BLVD
BOISE, ID
ZIP 83706
Phone:

Authorized Official

Authorized Official Name KATHY GIANNAKOPOULOS
Authorized Official TitleENROLLMENTS MANAGER
Authorized Official Phone(208) 395-3954

Medicare - Medical Supplier Products

The provider accepts medicare and carries the following medical supplies product categories:

  • Blood Glucose Monitors & Supplies: Non-Mail Order - Home blood glucose monitors, Test strips, Lancets
  • Diabetic Shoes & Inserts: Prefabricated - Shoes, Socks, Insoles
  • Orthoses: Off-the-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Urological Supplies - Catheters, Urinary collection devices

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

2333600000XSuppliersPharmacyNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2056845OTHER (01)
2802679MEDICAID (05)NV

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457868101DR. JAYZLE JOY BOYD PHARMD
Individual
Pharmacist2667 WINDMILL PKWY
HENDERSON, NV 89074
(702) 361-1157
1659672814 LISA RISCHE
Individual
Pharmacist2667 WINDMILL PKWY
HENDERSON, NV 89074
(702) 361-1157
1831499334 GENE MATTSFIELD RPH
Individual
Pharmacist2667 WINDMILL PKWY
HENDERSON, NV 89074
(702) 361-1157

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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