Delta Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY37450 Issued in CA

Legal business name

DELTA DRUGS

Practice address

1666 Medical Center Dr
San Bernardino, CA 92411-1257

Phone

(909) 887-2596

Fax

(909) 887-8496

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Anthony Tenette, RPNNPI 1770637365

Title

Pharmacist Owner

Phone

(909) 887-2596

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Anthony Tenette, RPN

  • Pharmacist
  • San Bernadino, CA
  • NPI 1770637365
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1154445179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 MEDICAL CENTER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111257",
            "telephone_number": "909-887-2596",
            "fax_number": "909-887-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 MEDICAL CENTER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111257",
            "telephone_number": "909-887-2596",
            "fax_number": "909-887-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "TENETTE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "909-887-2596",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPN"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA374500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Manuel Delgado Jr., RDH
• Karen Vanessa Delgado
• Nancy Ashley Delgado
• Precious Saida Delgado
• Deliverance House Incorporated
• Robert Martin Deluca, D.C.
• Marissa Helen Delvalle, RN, BSN, PMHNP
• Dema Agency Consultants LLC
• Alexis Demery
• Helen Kathleen Demetrion, M.S.

• Community/Retail Pharmacy in San Bernardino, CA
• Providers in San Bernardino, 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 16, 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.