VISTA CARE PHARMACY INC (NPI# 1821463134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821463134 |
| Entity Type | Organization |
| Organization Name | VISTA CARE PHARMACY INC |
| Other Organization Name | VISTA CARE PHARMACY |
| Practice Address |
16055 Foothill Blvd Fontana CA 92335-8053 |
| Practice Telephone | 9094281400 |
| Practice Fax Number | 9094281500 |
| Mailing Telephone | 9094281400 |
| Mailing Fax Number | 9094281500 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | MR. AMIR A. RAO (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9094281400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 53799 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY PERMIT | PHY 53799 | 01 |
| Other Name | Type Code |
|---|---|
| VISTA CARE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174990030 | Vista Care Pharmacy Inc | Pharmacy | 12351 Mariposa Rd # 11, Victorville, CA 92395-6013 | 2015-08-26 |
| Street Address |
16055 FOOTHILL BLVD |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-8053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497204671 | Subhadra Rani | Pharmacist | 16055 Foothill Blvd, Fontana, CA 92335-8053 | 2016-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417349978 | Fil-am Cali Venture Inc | Pharmacy | 7470 Cherry Ave Ste 111, Fontana, CA 92336-4272 | 2015-02-20 |
| 1588712194 | Kaiser Foundation Health Plan Inc | Pharmacy | 9985 Sierra Avenue 2nd Flr Peds, Fontana, CA 92335 | 2007-01-08 |
| 1306907134 | Ntn Pharmacy Inc | Pharmacy | 8554 Sierra Ave, Fontana, CA 92335-3840 | 2006-12-13 |
| 1912068073 | Millares Corporation | Pharmacy | 9788 Sierra Ave, Fontana, CA 92335-6717 | 2006-12-13 |
| 1255414397 | Costco Wholesale Corporation | Pharmacy | 16505 Sierra Lakes Pkwy, Fontana, CA 92336 | 2006-10-23 |
| 1356386254 | Garfield Beach Cvs LLC | Pharmacy | 9840 Sierra Ave, Fontana, CA 92335-6719 | 2006-06-17 |
| 1902220924 | Lila Pharmacy Inc. | Pharmacy | 16137 Foothill Blvd, Fontana, CA 92335-3374 | 2014-02-11 |
| 1639348964 | Coles Care Pharmacy | Pharmacy | 16854 Ivy Ave, Suite C, Fontana, CA 92335-1504 | 2008-02-20 |
| 1558419366 | Kaiser Foundation Health Plan Inc | Pharmacy | 9961 Sierra Ave, Building 3b, Fontana, CA 92335-6720 | 2007-01-08 |
| 1861540643 | Kaiser Foundation Health Plan Inc | Pharmacy | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| Find all providers in FONTANA | ||||
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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.