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NPI Code Detail

MEDICARE: THE VON'S COMPANIES

MEDICARE: THE VON'S COMPANIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacyPH1175NV
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12905098OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619906641
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE VON'S COMPANIES
Provider Business Mailing Address
First Line : 20427 N 27TH AVE # MSC4551
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-3241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4854 W LONE MOUNTAIN RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2239
Country : US
Telephone Number : 702-656-1484
Fax Number : 702-645-1151
Authorized Official
Title or Position : MANAGED CARE PLAN SPECIALIST
Name : MICHELLE ANN RIVERS
Credential : CPHT
Telephone Number : 623-869-3524
Provider Enumeration Date : 07/02/2006
Last Update Date : 11/17/2008

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Directions to “THE VON'S COMPANIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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