Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VONS COMPANIES INC
Active
Organization
VONS COMPANIES INC
Active
Other names
VONS PHARMACY #2431
Organization subpart
No
Provider details
NPI number
Authorized official
DEMOND HAWKINS CPHT MBA (THIRD PARTY MANAGER)
(208) 395-3905
Entity
Organization
Contact information
Practice address
2433 HARBOR BLVD, VENTURA, CA 93001-3904
(805) 642-7811
(805) 642-2459
Mailing address
250 E PARKCENTER BLVD, MAILSTOP SEC 2-B, BOISE, ID 83706-3940
(208) 395-6200
(623) 282-3834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083643001
—
CA
01
—
1995552
PK
—
Enumeration date
07/02/2006
Last updated
07/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up