Hartley Medical Center Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH20643 Issued in CA

Legal business name

HARTLEY MEDICAL CENTER PHARMACY INC

Practice address

113 W Victoria St
Long Beach, CA 90805

Phone

(562) 595-7548

Fax

(562) 595-9855

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William A Stuart

Title

Prsident

Phone

(562) 595-7548

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1164560033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W VICTORIA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "562-595-7548",
            "fax_number": "562-595-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W VICTORIA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90805",
            "telephone_number": "562-595-7548",
            "fax_number": "562-595-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLEY MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "562-595-7548",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY20643",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PH20643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA206430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherish Hart
• Jetaine Hart
• Richard Hart
• Donyae Hartfield-Fisher
• Alyssa Faith Hartlaub, R.N.
• Anthony Edward Hartley
• Megan Lucille Hartley, LCSW
• Carl T Hartman, MD
• Ethan N Hartman
• Lauren Hartman, PA

• All providers in Long Beach, CA
• Compounding Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.