Organization Active NPI

Sidaka'S Pharmacy Inc

  • Community/Retail Pharmacy
  • Temecula, CA
National Provider Identifier
1043505357
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55945 Issued in CA
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

Updated by the provider on Mar 27, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.