Active NPI
Teplow Pharmacy LLC
- Pharmacy
- Barstow, CA
National Provider Identifier
1013046713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY57968 | Medicaid | CA | |
| PHA468900 | Medicaid | CA |
Other names 1
- TEPLOW DRUGS
National Provider Directory
National Provider Directory- Tax ID family
- Allcare Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Victorville, CA
- NPI 1861888265
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Barstow, CA
- NPI 1316210354
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.