TC Medical Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 50347 Issued in CA

Legal business name

TC MEDICAL PHARMACY CORP

Doing business as

TC Medical Pharmacy

Practice address

760 Washburn Ave
#1
Corona, CA 92882-3303

Phone

(951) 371-2003

Fax

(951) 371-2002

NPI assigned

Jul 20, 2010

Last updated

Feb 29, 2012By 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

Dr. Tony Van Le, PHARM D

Title

Secretary/Pharmacist in Charge

Phone

(951) 371-2003

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TC MEDICAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1164735080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WASHBURN AVE",
            "address_2": "#1",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-371-2003",
            "fax_number": "951-371-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WASHBURN AVE",
            "address_2": "#1",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823303",
            "telephone_number": "951-371-2003",
            "fax_number": "951-371-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TC MEDICAL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "SECRETARY/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "951-371-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 50347",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHY 50347",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TC MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Corona, CA
• Providers in Corona, 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 Feb 29, 2012; 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.