Organization Active NPI

Seal Beach Drug

Doing business as BOBS REXALL DRUG Seal Beach Rexall

  • Pharmacy
  • Seal Beach, CA
National Provider Identifier
1114002755
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY16812 Issued in CA
Legal business name
SEAL BEACH DRUG
Doing business as
BOBS REXALL DRUG Seal Beach Rexall
Practice address
141 Main St
Seal Beach, CA 90740-6316
Phone
(562) 430-0549
Fax
(562) 430-1976
NPI assigned
Oct 25, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Bob Griffith
Title
Owner/Pharmacist
Phone
(562) 430-0549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY16812 CA Primary

Addresses

Primary practice location

141 Main St
Seal Beach, CA 90740-6316

Mailing address

141 Main St
Seal Beach, CA 90740-6316
Phone (562) 430-0549

Other identifiers 1

IdentifierTypeStateIssuer
PHA168120OtherCAMEDI-CAL

Other names 1

  • BOBS REXALL DRUG Seal Beach Rexall Doing business as

National Provider Directory

National Provider Directory

Locations

141 Main St
Seal Beach, CA 90740
Phone (562) 430-0549

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1114002755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MAIN ST",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406316",
            "telephone_number": "562-430-0549",
            "fax_number": "562-430-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAIN ST",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406316",
            "telephone_number": "562-430-0549",
            "fax_number": "562-430-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAL BEACH DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "562-430-0549"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY16812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "PHA168120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOBS REXALL DRUG Seal Beach Rexall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.