Pacifica Fortuna Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46593 Issued in CA

Legal business name

PACIFICA FORTUNA INC

Doing business as

Pacifica Fortuna Pharmacy

Practice address

14427 Chase St
Ste B
Panorama City, CA 91402-3020

Phone

(818) 892-8388

Fax

(818) 892-7077

NPI assigned

Aug 10, 2006

Last updated

Apr 30, 2008By 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

Allen Ho

Title

President

Phone

(818) 892-8388

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PACIFICA FORTUNA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1154332658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14427 CHASE ST",
            "address_2": "STE B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14427 CHASE ST",
            "address_2": "STE B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023020",
            "telephone_number": "818-892-8388",
            "fax_number": "818-892-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA FORTUNA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-892-8388"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA465930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5601566",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFICA FORTUNA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shari Owens
• Yvette Nicole Owens, MD
• Nancy Ozuna, LVN
• Jacqueline G. Pachon, MD
• Pacific Neuro Diagnostic Medical Group, Inc.
• Arvi Jaugan Pacoy, NP-C
• Maria Consuelo Bontuyan Padal, PT
• Kristine Cachola Padilla, M.D.
• Sheila Kay Najarilla Padre
• Megan Pagan

• Community/Retail Pharmacy in Panorama City, CA
• Providers in Panorama City, 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 Apr 30, 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.