PORTOLA VILLAGE PHARMACY
NPI 1427620806
Pharmacy - Community/Retail Pharmacy in Portola, CA

Active since July 14, 2021
157 COMMERCIAL ST, PORTOLA, CA 96122(530) 832-4218(530) 832-1375 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2021, Jul 14, 2021 (2 updates tracked since 2021).

About Portola Village Pharmacy NPPES

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

PORTOLA VILLAGE PHARMACY (NPI 1427620806) is a healthcare organization registered as a community/retail pharmacy in Portola, California and active in the NPI registry since July 2021. The organization lists Lindsey Anne Compton, Ceo/director, as its authorized official.

NPPES Registry Identity

NPI1427620806
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOMPTON & CRABTREE, INC.
Location Address157 COMMERCIAL STPortola, CA 96122-9606
Mailing Address157 Commercial StPortola, CA 96122-9606 · (530) 832-4218 · Fax (530) 832-1375
Fax(530) 832-1375
Organization SubpartNo
Authorized OfficialLindsey Anne ComptonCeo/director · (530) 249-5641
Enumeration DateJuly 14, 2021
Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1427620806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

157 COMMERCIAL ST, Portola, CA 96122

Other Names 1

Doing Business AsPortola Village Pharmacy

Other Identifiers 1

Medicaid1427620806CA

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 05D2307853

Compton & Crabtree, Inc. · Portola, CA
Expired · Jul 15, 2026
CLIA Number05D2307853
Laboratory TypePharmacy
Certificate Effective DateJuly 16, 2024
Certificate Expiration DateJuly 15, 2026
Laboratory DirectorLindsey A. Compton
Laboratory Phone(530) 832-4218
Laboratory LocationCompton & Crabtree, Inc.157 Commercial St, Portola, CA 96122
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 2024 & 2026 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.
290 services288 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.
270 services270 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.
19 services19 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.
19 services19 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20405267
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
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
  • 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

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.

Pharmacy (Community/Retail Pharmacy)
157 COMMERCIAL ST
PORTOLA, CA 96122
Pharmacist
157 COMMERCIAL ST
PORTOLA, CA 96122
Pharmacist
157 COMMERCIAL ST
PORTOLA, CA 96122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427620806, enumerated as an "organization" on July 14, 2021.

The provider is located at 157 COMMERCIAL ST PORTOLA, CA 96122 and the phone number is (530) 832-4218.

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

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