Active NPI
Madeleine Lord
Doing business as crown drug store
- Pharmacist
- Carson, CA
National Provider Identifier
1053412411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY39951
- Legal business name
- MADELEINE LORD
- Doing business as
- crown drug store
- Practice address
- 657 E University Dr
Carson, CA 90746-1966 - Phone
- (310) 323-6193
- NPI assigned
- Sep 26, 2006
- Last updated
- Sep 21, 2017
- 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
- Madeleine Lord
- Title
- Owner
- Phone
- (310) 323-6193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY39951 | CA | Primary |
Addresses
Primary practice location
657 E University Dr
Carson, CA 90746-1966
Mailing address
657 E University Dr
Carson, CA 90746-1966
Phone (310) 323-6193
Other names 1
- crown drug store
National Provider Directory
National Provider DirectoryLocations
657 E University Dr
Carson, CA 90746
Phone (310) 323-6193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505952000000",
"number": "1053412411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 E UNIVERSITY DR",
"city": "CARSON",
"state": "CA",
"postal_code": "907461966",
"telephone_number": "310-323-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 E UNIVERSITY DR",
"city": "CARSON",
"state": "CA",
"postal_code": "907461966",
"telephone_number": "310-323-6193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADELEINE LORD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2017-09-21",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "MADELEINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-323-6193"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY39951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "crown drug store",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.