Active NPI
Beverly Combs, RPH
- Pharmacist
- San Clemente, CA
National Provider Identifier
1053785733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 35105
- Practice address
- 602 N El Camino Real
San Clemente, CA 92672-4720 - Phone
- (949) 369-5281
- Fax
- (949) 369-6752
- NPI assigned
- Nov 18, 2015
- Last updated
- Nov 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 35105 | CA | Primary |
Addresses
Primary practice location
602 N El Camino Real
San Clemente, CA 92672-4720
Mailing address
602 N El Camino Real
San Clemente, CA 92672-4720
Phone (949) 369-5281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 35105 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1053785733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N EL CAMINO REAL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724720",
"telephone_number": "949-369-5281",
"fax_number": "949-369-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N EL CAMINO REAL",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724720",
"telephone_number": "949-369-5281",
"fax_number": "949-369-6752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBS",
"first_name": "BEVERLY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 35105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
- Colin X Jairam MD Inc (Hybrid MD)
- Cheryl Ann Colker, D.M.D.
- Alaina Collazo, DDS
- John Everett Collings
- McKenzie Taylor Collins, MS, OTR/L
- Comprehensive Medical Services
- Comprenhensive Vocational Services
- Cassandra Eve Conlin, OTR/L
- Alyssa Carolyn Conrad
- Contemporary Healthcare Medical Group, Inc. (CHMG)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.