Spring Park Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50223 Issued in CA

Legal business name

SPRING PARK PHARMACY INC

Practice address

2201 Mission Ave
Oceanside, CA 92058-2313

Phone

(760) 757-1212

Fax

(760) 757-8870

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

John Ahn

Title

President

Phone

(760) 757-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mission Park Pharmacy Doing business as

Practitioners 3

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

• Junelyn Bantad Bautista

  • Pharmacist
  • Long Beach, CA
  • NPI 1558901017
  NPD
• Connie Dao, PHARMD

  • Pharmacist
  • Westminster, CA
  • NPI 1891064598
  NPD
• Nicholas Alexander Ariaz

  • Pharmacist
  • Aliso Viejo, CA
  • NPI 1649144197
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1043380959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST",
            "address_2": "SUITE 140",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151423",
            "telephone_number": "562-420-1303",
            "fax_number": "760-757-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MISSION AVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920582313",
            "telephone_number": "760-757-1212",
            "fax_number": "760-757-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING PARK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-757-1212"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cary Spillman
• Daniel Robert Spillmann, D.C.
• Lisa Spindle, LCSW
• Spine Awareness PC
• Spinezone Medical Fitness, Inc.
• Dewain Nicholas Springer, DPM
• Candyce Spruel
• Lakshmi Sriramaneni, DPT
• Meghann Marie St Clair, CADC I
• Elizabeth Jean St. Holland, CADAC II

• Community/Retail Pharmacy in Oceanside, CA
• Providers in Oceanside, 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 May 21, 2013; 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.