Delta Drugs II, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50204 Issued in CA

Legal business name

DELTA DRUGS II, INC.

Practice address

2497 E Lakeshore Dr Ste B
Lake Elsinore, CA 92530-4437

Phone

(951) 245-2325

Fax

(951) 245-4295

NPI assigned

Apr 7, 2010

Organization subpart

No

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

Authorized official

Name

Rita Avakian

Title

President

Phone

(951) 245-2325

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DELTA DRUGS Doing business as

Locations

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1013233667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 E LAKESHORE DR",
            "address_2": "UNIT B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304437",
            "telephone_number": "951-245-2325",
            "fax_number": "951-245-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 E LAKESHORE DR STE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304437",
            "telephone_number": "951-245-2325",
            "fax_number": "951-245-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DRUGS II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-245-2325"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5637321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DELTA DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Derek B. Hauser, DDS, Inc.
• Mark Peter Desjardins, B. ED

• Community/Retail Pharmacy in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 Apr 7, 2010; 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.