Organization Active NPI

Tomshire Pharmacy Inc

  • Community/Retail Pharmacy
  • Hesperia, CA
National Provider Identifier
1184981995
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50937 Issued in CA
Legal business name
TOMSHIRE PHARMACY INC
Practice address
14101 Main St Ste 103
Hesperia, CA 92345-8098
Phone
(760) 949-2900
Fax
(760) 949-0100
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Gary Adams
Title
Owner
Phone
(760) 949-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY50937 CA Primary

Addresses

Primary practice location

14101 Main St Ste 103
Hesperia, CA 92345-8098

Mailing address

14101 Main St Ste 103
Hesperia, CA 92345-8098
Phone (760) 949-2900

Other identifiers 1

IdentifierTypeStateIssuer
5643603OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • TomShire Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

14101 Main St
Ste 103
Hesperia, CA 92345
Phone (909) 867-9083

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1184981995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 MAIN ST STE 103",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923458098",
            "telephone_number": "760-949-2900",
            "fax_number": "760-949-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 MAIN ST STE 103",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923458098",
            "telephone_number": "760-949-2900",
            "fax_number": "760-949-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMSHIRE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-949-2900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5643603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TomShire Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.