Organization Active NPI

Fallbrook Pharmacy Inc II

  • Long Term Care Pharmacy
  • Fallbrook, CA
National Provider Identifier
1023053261
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY39905 Issued in CA
Legal business name
FALLBROOK PHARMACY INC II
Practice address
343 E Alvarado St
Ste B
Fallbrook, CA 92028-2966
Phone
(760) 728-3182
Fax
(760) 728-2398
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Richard Clements
Title
Cfo
Phone
(760) 728-3182

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X PHY39905 CA Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

343 E Alvarado St
Ste B
Fallbrook, CA 92028-2966

Mailing address

343 E Alvarado St
Ste B
Fallbrook, CA 92028-2966

Other identifiers 1

IdentifierTypeStateIssuer
5621998OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

343 E Alvarado St
Ste B
Fallbrook, CA 92028
Phone (760) 451-6971

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023053261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E ALVARADO ST",
            "address_2": "STE B",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E ALVARADO ST",
            "address_2": "STE B",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282966",
            "telephone_number": "760-728-3182",
            "fax_number": "760-728-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLBROOK PHARMACY INC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-728-3182"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY39905",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5621998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.