VONS PHARMACY #2692
NPI 1700815743
Pharmacy - Community/Retail Pharmacy in Simi Valley, CA

Active since July 02, 2006CLIA 05D2058090 · Waiver
2938 TAPO CANYON RD, SIMI VALLEY, CA 93063(805) 426-6040(805) 426-6025 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2018, Oct 27, 2016, Oct 21, 2016 (3 updates tracked since 2016).

About Vons Pharmacy #2692 NPPES

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

VONS PHARMACY #2692 (NPI 1700815743) is a healthcare organization registered as a community/retail pharmacy in Simi Valley, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1700815743
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVONS COMPANIES INC
Location Address2938 TAPO CANYON RDSimi Valley, CA 93063-2171
Mailing Address250 E Parkcenter Blvd, Mailstop Sec 2-bBoise, ID 83706-3940
Fax(805) 426-6025
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 4, 20183 updates tracked since enumeration
NPI 1700815743 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 CA · PHY52118
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
2938 TAPO CANYON RD, Simi Valley, CA 93063

Other Names 1

Doing Business AsVons Pharmacy #2692

Other Identifiers 2

Medicaid1700815743CA
Other2113210Pk

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 05D2058090

Vons Pharmacy #2692 · Simi Valley, CA
Active · expires Apr 28, 2027
CLIA Number05D2058090
Laboratory TypePharmacy
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorNguyen T. Nguyen
Laboratory Phone(805) 426-6040
Laboratory LocationVons Pharmacy #26922938 Tapo Canyon Rd, Simi Valley, CA 93063
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 Pavilions Pharmacy #2692 carries, from the Medicare DMEPOS supplier directory.

Pavilions Pharmacy #2692

DMEPOS supplier · Simi Valley, CAOperated by Vons Companies Inc

Does not accept Medicare assignment

Pavilions Pharmacy #2692 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)20467295
Medicare Participant SinceJanuary 1, 2017
Supplier Location2938 Tapo Canyon RdSimi Valley, CA 93063
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.

Pharmacist
2938 TAPO CANYON RD
SIMI VALLEY, CA 93063
Pharmacist
2938 TAPO CANYON RD
SIMI VALLEY, CA 93063
Pharmacist
2938 TAPO CANYON RD
SIMI VALLEY, CA 93063

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 1700815743. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Vons Pharmacy #2692.

Where is Vons Companies Inc located?

Vons Companies Inc is located at 2938 Tapo Canyon Rd, Simi Valley, CA 93063. The listed phone number is (805) 426-6040.

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 #2692 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 05D2058090) is associated with this NPI, valid through April 28, 2027. 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 4, 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.