DE VERA INC


Address: 21250 Califa St Ste 109, Woodland Hills, CA 91367-5031
Phone: 8186101229

DE VERA INC (NPI# 1306177704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306177704
Entity Type Organization
Organization Name DE VERA INC
Other Organization Name ECOMPOUNDING PHARMACY
Practice Address 21250 Califa St Ste 109
Woodland Hills
CA 91367-5031
Mailing Address 21250 Califa St
Suite 109
Woodland Hills
CA 91367-5001
Practice Telephone 8186101229
Practice Fax Number 8187159710
Mailing Telephone 8186101229
Mailing Fax Number 8187159710
Enumeration Date 2010-01-25
Last Update Date 2013-01-10
Authorized Official Name MR. PIERRE PELAYO NARVADES (PRESIDENT/PHARMACIST)
Authorized Official Telephone 8186101229
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy PHY50194 CA Suppliers
Y 3336C0004X Pharmacy
Specialization: Compounding Pharmacy
PHY50194 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE BOARD OF PHARMACY PHY 50194 01

Other Provider/Organization Names

Other Name Type Code
ECOMPOUNDING PHARMACY Doing Business As Name - Organization

Office Location

Street Address 21250 CALIFA ST STE 109
City WOODLAND HILLS
State CA
Zip Code 91367-5031

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Taxonomy Information

Taxonomy Code 3336C0004X
Grouping Suppliers
Classification Pharmacy
Specialization Compounding Pharmacy

Taxonomy Definition

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new]

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Competitor

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City WOODLAND HILLS
Zip Code 91367

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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