Organization Active NPI

Clear Script Company Inc

Doing business as Morans Pharmacy

  • Community/Retail Pharmacy
  • Clearlake, CA
National Provider Identifier
1154312254
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46732 Issued in CA
Legal business name
CLEAR SCRIPT COMPANY INC
Doing business as
Morans Pharmacy
Practice address
15175 Lakeshore Dr
Clearlake, CA 95422-8106
Phone
(707) 994-6440
Fax
(707) 994-8425
NPI assigned
Oct 30, 2005
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Gurinder GrewalNPI 1255084703
Title
President
Phone
(707) 994-6440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY46732 CA Primary

Addresses

Primary practice location

15175 Lakeshore Dr
Clearlake, CA 95422-8106

Mailing address

PO Box 7070
Clearlake, CA 95422-7070
Phone (707) 994-6440

Other identifiers 2

IdentifierTypeStateIssuer
2035733OtherPK
PHA467320MedicaidCA

Other names 1

  • MORANS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930011394 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3173734589 Practice locations: Clearlake, CA

National Provider Directory

National Provider Directory
Tax ID family
Clear Script Company Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14855 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 994-6440

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": "1130630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1154312254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7070",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954227070",
            "telephone_number": "707-994-6440",
            "fax_number": "707-944-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15175 LAKESHORE DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228106",
            "telephone_number": "707-994-6440",
            "fax_number": "707-994-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SCRIPT COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-30",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "GURINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-994-6440"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035733",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearlake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.