Jose R Sardinas

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY20259 Issued in CA

Legal business name

JOSE R SARDINAS

Doing business as

Plaza Pharmacy

Practice address

11930 Hawthorne Blvd
Hawthorne, CA 90250-3016

Phone

(310) 973-5200

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jose R Sardinas, PHARMACIST

Title

Owner/Pharmacist

Phone

(310) 973-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Plaza Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1164558797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 HAWTHORNE BLV",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "90250",
            "telephone_number": "310-973-5200",
            "fax_number": "310-973-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503016",
            "telephone_number": "310-973-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R SARDINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "SARDINAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "310-973-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY20259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "PHA202590",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX 028418",
            "identifier": "0566589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John K Nylund MD Inc
• Karlon Howard Johnson, M.D.
• Marcus Johnson
• Deshellia Jones
• Crystal Mae Jordan
• Brenda Joseph
• Josmek Medical Supply and Associates
• Arlene Joyner-Tucker, D.D.S
• Katherine Juarez-Borja
• Drian Martinez Juarez

• Community/Retail Pharmacy in Hawthorne, CA
• Providers in Hawthorne, 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 Aug 6, 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.