Organization Active NPI

Benjamin Rothman a Pharmacy Corporation

  • Community/Retail Pharmacy
  • Fullerton, CA
National Provider Identifier
1083860084
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
48596 Issued in CA
Legal business name
BENJAMIN ROTHMAN A PHARMACY CORPORATION
Practice address
100 E Valencia Mesa Dr
Suite 106
Fullerton, CA 92835-3813
Phone
(714) 992-1234
Fax
(714) 992-6668
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ingrid Rothman
Title
President
Phone
(714) 992-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 48596 CA Primary

Addresses

Primary practice location

100 E Valencia Mesa Dr
Suite 106
Fullerton, CA 92835-3813

Mailing address

100 E Valencia Mesa Dr
Suite 106
Fullerton, CA 92835-3813
Phone (714) 992-1234

National Provider Directory

National Provider Directory

Locations

100 E Valencia Mesa Dr
Ste 106
Fullerton, CA 92835
Phone (714) 992-1234

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1083860084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE 106",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-992-1234",
            "fax_number": "714-992-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E VALENCIA MESA DR",
            "address_2": "SUITE 106",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353813",
            "telephone_number": "714-992-1234",
            "fax_number": "714-992-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN ROTHMAN A PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-992-1234"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "48596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.