1. Home
  2. Directory
  3. California
  4. Rancho Santa Margarita
  5. Pharmacy
  6. NPI Profile

PAVILIONS PHARMACY #2217
NPI 1659300689
Pharmacy - Community/Retail Pharmacy in Rancho Santa Margarita, CA

Active since July 02, 2006CLIA 05D2065449 · Waiver
22451 ANTONIO PKWY, RANCHO SANTA MARGARITA, CA 92688(949) 858-0670(949) 858-0371 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2018, Jul 19, 2018, Feb 23, 2017 and 1 more (4 updates tracked since 2016).

About Pavilions Pharmacy #2217 NPPES

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

PAVILIONS PHARMACY #2217 (NPI 1659300689) is a healthcare organization registered as a community/retail pharmacy in Rancho Santa Margarita, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1659300689
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVONS COMPANIES INC
Location Address22451 ANTONIO PKWYRancho Santa Margarita, CA 92688-2813
Mailing Address250 E Parkcenter Blvd, Mailstop Sec 2-bBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 282-3834
Phone(949) 858-0670
Fax(949) 858-0371
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 3, 20184 updates tracked since enumeration
✔ NPI 1659300689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY52187
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
Also ListedPharmacyTaxonomy 333600000X
22451 ANTONIO PKWY, Rancho Santa Margarita, CA 92688
Open in Google Maps ↗

Other Names 1

Doing Business AsPavilions Pharmacy #2217

Other Identifiers 2

Medicaid1659300689CA
Other2001005Pk

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 05D2065449

Pavillions Pharmacy # 2217 · Rancho Santa Margarita, CA
Active · expires Dec 13, 2026
CLIA Number05D2065449
Laboratory TypePharmacy
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorThanh Chung
Laboratory Phone(949) 858-0670
Laboratory LocationPavillions Pharmacy # 221722451 Antonio Parkway, Rancho Santa Margarita, CA 92688
CLIA data matches this NPI record on: Address 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 Pavilions Pharmacy #2217 carries, from the Medicare DMEPOS supplier directory.

Pavilions Pharmacy #2217

DMEPOS supplier · Santa Margarita, CAOperated by Vons Companies Inc
⋮

Does not accept Medicare assignment

Pavilions Pharmacy #2217 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)20466863
Medicare Participant SinceJanuary 1, 2017
Supplier Location22451 Antonio PkwySanta Margarita, CA 92688
Phone(949) 858-0670
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.

QUYNH THU THI HUYNH RPH
Pharmacist
22451 ANTONIO PKWY
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 858-0670
SAEMIN KIM
Pharmacist
22451 ANTONIO PKWY
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 858-0670
DR. LUZIEN VILLAROSA PHARM. D.
Pharmacist
22451 ANTONIO PKWY
RANCHO SANTA MARGARITA, CA 92688
Orange County (949) 855-5458

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 1659300689. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Pavilions Pharmacy #2217.

Where is Vons Companies Inc located?

Vons Companies Inc is located at 22451 Antonio Pkwy, Rancho Santa Margarita, CA 92688. The listed phone number is (949) 858-0670.

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, Pavilions Pharmacy #2217 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 05D2065449) is associated with this NPI, valid through December 13, 2026. 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 October 3, 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.