MD Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55276 Issued in CA

Legal business name

MD PHARMACY LLC

Practice address

1601 Monte Vista Ave
Suite 130
Claremont, CA 91711-2962

Phone

(909) 949-6337

Fax

(909) 949-6331

NPI assigned

Feb 16, 2011

Last updated

Dec 14, 2016By 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

Mr. Mark Boesen

Title

Ceo

Phone

(602) 616-8831

Specialties & licenses 2

Addresses

Other names 1

• MD Pharmacy Other name

Locations

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1164729828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 N. HARTFORD DR.",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "844-436-7928",
            "fax_number": "909-949-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE",
            "address_2": "SUITE 130",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112962",
            "telephone_number": "909-949-6337",
            "fax_number": "909-949-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "BOESEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-616-8831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50519",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donald Edward McDonald, PHARM
• Michael McDonald
• Martin Stuart McLeod, D.C.
• Janice McNamara, PSYD
• Lia Anna McTague
• Elyjah Marie Medina-Morales
• Alicia Beatriz Medina, LMFT
• Yolanda Isabel Medina, LMFT
• Stacey Elizabeth Meisel, N.D.
• Ria Hermosilla Mejia, M.ED.,OTR/L

• Community/Retail Pharmacy in Claremont, CA
• Providers in Claremont, 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 Dec 14, 2016; 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.