VETERANS HOME OF CALIFORNIA (NPI# 1386843167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386843167 |
| Entity Type | Organization |
| Organization Name | VETERANS HOME OF CALIFORNIA |
| Other Organization Name | VETERANS HOME OF CALIFORNIA PHARMACY SERVICE |
| Practice Address |
123 California Drive Yountville CA 94599 |
| Practice Telephone | 7079444616 |
| Practice Fax Number | 7079444629 |
| Mailing Telephone | 7079444616 |
| Mailing Fax Number | 7079444629 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | MS. SARAH KATE (PHARMACY SERVICES MANAGER) |
| Authorized Official Telephone | 7079444616 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHE 19563 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHE 19563 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NO. | PHE-19563 | 01 |
| Other Name | Type Code |
|---|---|
| Veterans Home of California Pharmacy Service | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811751 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2005-09-20 |
| 1609011618 | Veterans Home of California | Clinic/Center | 100 California Dr, Yountville, CA 94599-1411 | 2008-12-04 |
| 1710131602 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| 1922252840 | Veterans Home of California | Military Hospital | 100 California Dr, Medical Staff Office, Yountville, CA 94599-1411 | 2008-11-05 |
| 1831343755 | Veterans Home of California | Skilled Nursing Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| 1740434661 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| 1568616480 | Veterans Home of California | Military Hospital | 100 California Dr, Medical Staff Office, Yountville, CA 94599-1411 | 2008-11-05 |
| 1477707396 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| 1386898203 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2008-11-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA - FRESNO | 2811 W California Ave, Fresno, CA 93706-2306 |
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA BARSTOW | 100 E Veterans Pkwy, Barstow, CA 92311-7003 |
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA, YOUNTVILLE | 100 California Dr, Yountville, CA 94599-1411 |
| System for Award Management (SAM) Entities | VETERANS HOME OF CALIFORNIA- VENTURA | 10900 Telephone Rd, Ventura, CA 93004-1870 |
| Street Address |
123 CALIFORNIA DRIVE |
| City | YOUNTVILLE |
| State | CA |
| Zip Code | 94599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579511 | James David Vye Jr. | Physical Therapist | 1897 Hopper Way, Yountville, CA 94599-1212 | 2019-10-09 |
| 1215249875 | Boyd Patrick Dennington | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2010-07-11 |
| 1730522517 | Robert Roy Hampton IIi | Dentist | 6525 Washington St, Yountville, CA 94599-1300 | 2013-04-11 |
| 1578928701 | Kimberly De Luna | Pharmacist | 123 California Dr, Yountville, CA 94599-1411 | 2015-12-14 |
| 1235441163 | Rachelle Marie Methner | Dietitian, Registered | 120 California Dr, Yountville, CA 94599-1411 | 2010-07-08 |
| 1396061255 | Carolyn A Clark | Social Worker | 150 California Dr, Yountville, CA 94599-1411 | 2010-04-15 |
| 1144412156 | Angela Brochu | Dietitian, Registered | 180 California Dr, Yountville, CA 94599-1411 | 2007-08-14 |
| 1033300470 | Lynne Alison Fredricksen | Dietitian, Registered | 110 California Dr, Yountville, CA 94599-1411 | 2007-08-08 |
| 1225236243 | Sharon A. Parda | Dietitian, Registered | 190 California Dr, Yountville, CA 94599-1411 | 2007-07-11 |
| 1104811751 | Veterans Home of California | Nursing Facility/Intermediate Care Facility | 100 California Dr, Yountville, CA 94599-1411 | 2005-09-20 |
| Find all providers in zip 94599 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | YOUNTVILLE |
| Zip Code | 94599 |
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| 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.