Bristol Drug Co., Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY42892 Issued in CA

Legal business name

BRISTOL DRUG CO., INC

Practice address

1302 W Santa Ana Blvd
Santa Ana, CA 92703-3707

Phone

(714) 953-6866

Fax

(714) 953-6341

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Joyce Lim, RPH

Title

President

Phone

(714) 953-6866

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013050087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 W SANTA ANA BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033707",
            "telephone_number": "714-953-6866",
            "fax_number": "714-953-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W SANTA ANA BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033707",
            "telephone_number": "714-953-6866",
            "fax_number": "714-953-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL DRUG CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-953-6866",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA428920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Briones-Montiel
• Annamarie Briones
• Andrea Briseno Tellez
• Adrian A Briseno
• Ana T Briseno, NONE
• Bristol McFadden Medical Group, Inc.
• Bristol McFadden Medical Group,Inc.
• Bristol Park Medical Group, Inc.
• Bristol Physical Therapy & Sports Medicine Center
• Bristol Plaza Family Medicine, a Professional Medical Corporation

• Community/Retail Pharmacy in Santa Ana, CA
• Providers in Santa Ana, 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 Aug 22, 2020; 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.