Active NPI
Sidaka'S Pharmacy Inc
- Community/Retail Pharmacy
- Temecula, CA
National Provider Identifier
1043505357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY55945
- Legal business name
- SIDAKA'S PHARMACY INC
- Doing business as
- Hope Pharmacy
- Practice address
- 31150 Temecula Pkwy Ste 100
Temecula, CA 92592-2921 - Phone
- (951) 302-3111
- Fax
- (951) 302-3115
- NPI assigned
- Jun 14, 2011
- 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
- Sidaka Choau
- Title
- Owner / Pic
- Phone
- (951) 302-3111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY55945 | CA | Primary |
Addresses
Primary practice location
31150 Temecula Pkwy Ste 100
Temecula, CA 92592-2921
Mailing address
31150 Temecula Pkwy Ste 100
Temecula, CA 92592-2921
Phone (951) 302-3111
Other names 1
- Hope Pharmacy
National Provider Directory
National Provider DirectoryLocations
31150 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (909) 389-4643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1043505357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31150 TEMECULA PKWY STE 100",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922921",
"telephone_number": "951-302-3111",
"fax_number": "951-302-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31150 TEMECULA PKWY STE 100",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922921",
"telephone_number": "951-302-3111",
"fax_number": "951-302-3115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIDAKA'S PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-14",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "CHOAU",
"authorized_official_first_name": "SIDAKA",
"authorized_official_title_or_position": "OWNER / PIC",
"authorized_official_telephone_number": "951-302-3111"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY55945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hope Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.