Emj Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY56131 Issued in CA

Legal business name

EMJ PHARMACY CORPORATION

Practice address

665 Camino de Los Mares Ste 101
San Clemente, CA 92673-2840

Phone

(949) 496-0123

Fax

(949) 496-0489

NPI assigned

Oct 4, 2006

Last updated

Jun 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene MedleyNPI 1083989420

Title

Ceo

Phone

(949) 496-0123

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Sea View Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Emj Pharmacy Corporation

  dba Sea View Pharmacy

  • Long Term Care Pharmacy
  • San Clemente, CA
  • NPI 1932728433

  O20210315001863

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Emj Pharmacy Corporation

  dba Sea View Pharmacy

  • Long Term Care Pharmacy
  • San Clemente, CA
  • NPI 1932728433
  NPPES parent name

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.

• Eugene Medley, PHARM.D., M.S.

  • Pharmacist
  • San Clemente, CA
  • NPI 1083989420
  NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1144315896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732840",
            "telephone_number": "949-496-0123",
            "fax_number": "949-496-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732840",
            "telephone_number": "949-496-0123",
            "fax_number": "949-496-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMJ PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-496-0123"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY56131",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY39198",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea View Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Elliott, R.N.
• Joseph Stokes Elmer III
• Barbara Wallace Elsner, L.AC.
• Joseph G Emanuel
• Emergency Physicians Medical Group, Inc
• Emj Pharmacy Corporation (Sea View Pharmacy)
• Heather Rae Ender, MOT, OTR/L
• Enviromed, Inc.
• Malia Ertel, OTR/L, MS
• Samantha Joy Escobar, OTR

• Community/Retail Pharmacy in San Clemente, CA
• Providers in San Clemente, 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 Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.