Active NPI
Seth Owuor
- Pharmacist
- Victorville, CA
National Provider Identifier
1134575376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60557
- Practice address
- 14426 Palmdale Road
Victorville, CA 92308 - Phone
- (760) 243-1771
- Fax
- (760) 952-9172
- NPI assigned
- May 6, 2016
- Last updated
- May 6, 2016
- Sex
- Male
- 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 | 60557 | CA | Primary |
Addresses
Primary practice location
14426 Palmdale Road
Victorville, CA 92308
Mailing address
14426 Palmdale Rd
Victorville, CA 92392-2743
Phone (760) 243-1771
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462492800000",
"number": "1134575376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14426 PALMDALE RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922743",
"telephone_number": "760-243-1771",
"fax_number": "760-952-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14426 PALMDALE ROAD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92308",
"telephone_number": "760-243-1771",
"fax_number": "760-952-9172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWUOR",
"first_name": "SETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.