NPIMap

Organization Active NPI

Big a Drug Stores Inc

Doing business as Drug Emporium

  • Community/Retail Pharmacy
  • Tustin, CA
National Provider Identifier
1154410702
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BIG A DRUG STORES INC
Doing business as
Drug Emporium
Practice address
13852 Red Hill Ave
Tustin, CA 92780-4637
Phone
(714) 544-4701
Fax
(714) 544-8076
NPI assigned
Oct 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Edward Dallal, RPH
Title
President
Phone
(562) 633-9578

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY45368 CA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

13852 Red Hill Ave
Tustin, CA 92780-4637

Mailing address

PO Box 31001
Pasadena, CA 91110-0001

Other identifiers 2

IdentifierTypeStateIssuer
0582064OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA453680MedicaidCA

Other names 1

  • DRUG EMPORIUM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Big a Drug Stores Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

13852 Red Hill Ave
Tustin, CA 92780
Phone (714) 544-4701

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154410702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13852 RED HILL AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804637",
            "telephone_number": "714-544-4701",
            "fax_number": "714-544-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG A DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DALLAL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-633-9578",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY45368",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0582064",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA453680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG EMPORIUM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.