Organization Active NPI

Teplow Pharmacy LLC

  • Pharmacy
  • Barstow, CA
National Provider Identifier
1013046713
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
TEPLOW PHARMACY LLC
Practice address
404 E Main St
Barstow, CA 92311-2326
Phone
(760) 256-2726
Fax
(760) 256-3199
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Mr. Brahmaji Valiveti
Title
President
Phone
(201) 845-0407

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY46890 CA
Pharmacy 333600000X Primary

Addresses

Primary practice location

404 E Main St
Barstow, CA 92311-2326

Mailing address

404 E Main St
Barstow, CA 92311-2326
Phone (760) 256-2726

Other identifiers 2

IdentifierTypeStateIssuer
PHY57968MedicaidCA
PHA468900MedicaidCA

Other names 1

  • TEPLOW DRUGS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allcare Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1013046713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112326",
            "telephone_number": "760-256-2726",
            "fax_number": "760-256-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112326",
            "telephone_number": "760-256-2726",
            "fax_number": "760-256-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEPLOW PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "VALIVETI",
        "authorized_official_first_name": "BRAHMAJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-845-0407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46890",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY57968",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA468900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEPLOW DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TEPLOW DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.