Thomas L Pierick

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50230 Issued in CA

Legal business name

THOMAS L PIERICK

Practice address

1035 West Ramsey Street
B-3
Banning, CA 92220-4400

Phone

(951) 849-4920

Fax

(951) 922-2250

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas L Pierick, RPH

Title

Owner

Phone

(951) 849-4920

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Med Shop Banning Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Duane Jayne, R.PH.

  • Pharmacist
  • Banning, CA
  • NPI 1013936350
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1124146188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 WEST RAMSEY STREET",
            "address_2": "SUITE B-3",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204400",
            "telephone_number": "951-849-4920",
            "fax_number": "951-922-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 WEST RAMSEY STREET",
            "address_2": "B-3",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204400",
            "telephone_number": "951-849-4920",
            "fax_number": "951-922-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L PIERICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "PIERICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-849-4920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50230",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "56-26176",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA-468600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5626176",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Shop Banning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Ann Taylor
• Warren Allen Taylor
• Patricia Tetley
• The Lakes Senior Living, LLC
• Thomas Kyung Lee, DDS, Inc.
• Daphne Carrie Thomas, LCSW
• Imad K Thomas, D.D.S
• Tiana Thomas
• Tosha Thomas
• Betty Gene Thompson-Larkin, MFTT

• Community/Retail Pharmacy in Banning, CA
• Providers in Banning, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.