Organization Active NPI

Madeleine Lord

Doing business as crown drug store

  • Pharmacist
  • Carson, CA
National Provider Identifier
1053412411
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY39951 Issued in CA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.