Bel Air Market Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46948 Issued in CA

Legal business name

BEL AIR MARKET INC

Practice address

1885 East Gibson Road
Woodland, CA 95776-5163

Phone

(530) 668-4448

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Flint Pendergraft, PHARMD

Title

VP Pharmacy and Hli

Phone

(916) 373-6146

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1184734865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WEST CAPITOL AVE.",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052696",
            "telephone_number": "916-373-6146",
            "fax_number": "916-372-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 EAST GIBSON ROAD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957765163",
            "telephone_number": "530-668-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL AIR MARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "PENDERGRAFT",
        "authorized_official_first_name": "FLINT",
        "authorized_official_title_or_position": "VP PHARMACY AND HLI",
        "authorized_official_telephone_number": "916-373-6146",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5614373",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA469480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Area Community Services, Inc.
• Christine Beard, M.A.
• Jane Marie Beauchane Schmitt, MA SLP
• Joan Adelle Beesley
• Verenisse Bejarano, PA
• Jenna Bell, APCC, AMFT
• Sean Beloud, M.S., PTA
• Margot Benac
• Hocine Amim Benbella, DMD
• Carmel S Benbow, P.T.

• Community/Retail Pharmacy in Woodland, CA
• Providers in Woodland, 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 9, 2010; 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.