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
VISTAMED CORP
Active
Organization
VISTAMED CORP
Active
Other names
VISTAMED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIMSON BACOLOD (OWNER)
(424) 280-3022
Entity
Organization
Contact information
Practice address
141 W CARSON ST, CARSON, CA 90745-2602
(424) 280-3022
(424) 264-5607
Mailing address
141 W CARSON ST, CARSON, CA 90745-2602
(424) 280-3022
(424) 264-5607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
02/20/2015
Last updated
05/22/2024
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