Harbor Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY37415 Issued in CA

Legal business name

HARBOR DRUG COMPANY INC

Practice address

1525 Mesa Verde Dr E
Costa Mesa, CA 92626-5218

Phone

(714) 540-8911

Fax

(714) 435-0261

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Bonner

Title

President

Phone

(714) 540-8911

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• STEVEN'S PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1013029941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265218",
            "telephone_number": "877-540-4748",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265218",
            "telephone_number": "714-540-8911",
            "fax_number": "714-435-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-540-8911"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37415",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA374150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000044",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEVEN'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Hanes
• Hang Vo Dental Corporation
• Kayla Grace Hanigan
• Madeline Kells Hansen, LMFT
• Eleni Hapsis, OTR/L
• Harbor Health Center
• Harbor View Industrial Medical Group, Inc.
• Natalie Harder
• Lixia Zheng Hardison, ACUPUNCTURIST
• Carlee Harman, RN

• Community/Retail Pharmacy in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.