VONS PHARMACY #2861
NPI 1891731402
Pharmacy - Community/Retail Pharmacy in Long Beach, CA

Active since June 21, 2006CLIA 05D2058083 · Waiver
600 E BROADWAY, LONG BEACH, CA 90802(562) 437-5162(562) 495-7429 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2018, Oct 14, 2016 (2 updates tracked since 2016).

About Vons Pharmacy #2861 NPPES

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

VONS PHARMACY #2861 (NPI 1891731402) is a healthcare organization registered as a community/retail pharmacy in Long Beach, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Demond Hawkins, Third Party Manager, as its authorized official.

NPPES Registry Identity

NPI1891731402
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVONS COMPANIES INC
Location Address600 E BROADWAYLong Beach, CA 90802-5124
Mailing Address250 E Parkcenter Blvd, Mailstop Sec 2-bBoise, ID 83706-3940 · (208) 395-6200 · Fax (623) 282-3834
Fax(562) 495-7429
Organization SubpartNo
Authorized OfficialDemond HawkinsThird Party Manager · (208) 395-3905
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
NPI 1891731402 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 · PHY52290
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
600 E BROADWAY, Long Beach, CA 90802

Other Names 1

Doing Business AsVons Pharmacy #2861

Other Identifiers 2

Medicaid1891731402CA
Other2000696Pk

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 05D2058083

Vons Pharmacy #2861 · Long Beach, CA
Active · expires Apr 28, 2027
CLIA Number05D2058083
Laboratory TypePharmacy
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorThanh B. Chung
Laboratory Phone(562) 437-5162
Laboratory LocationVons Pharmacy #2861600 E. Broadway, Long Beach, CA 90802
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 10

Medicare supplier enrollment and the product categories Vons Pharmacy #2861 carries, from the Medicare DMEPOS supplier directory.

Vons Pharmacy #2861

DMEPOS supplier · Long Beach, CAOperated by Vons Companies Inc

Does not accept Medicare assignment

Vons Pharmacy #2861 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)20466317
Medicare Participant SinceJanuary 1, 2017
Supplier Location600 E BroadwayLong Beach, CA 90802
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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

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

Pharmacist
600 E BROADWAY
LONG BEACH, CA 90802

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 1891731402. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Vons Pharmacy #2861.

Where is Vons Companies Inc located?

Vons Companies Inc is located at 600 E Broadway, Long Beach, CA 90802. The listed phone number is (562) 437-5162.

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, Vons Pharmacy #2861 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 05D2058083) 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 July 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.