Organization Active NPI

Script Infusion Pharmacy, Inc.

  • Home Infusion Therapy Pharmacy
  • Los Alamitos, CA
National Provider Identifier
1194014407
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY50465 Issued in CA
Legal business name
SCRIPT INFUSION PHARMACY, INC.
Practice address
10571 Calle Lee Ste 163
Los Alamitos, CA 90720-2572
Phone
(562) 296-2120
Fax
(562) 296-2130
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Mr. John Donathan
Title
President
Phone
(562) 296-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X PHY50465 CA Primary

Addresses

Primary practice location

10571 Calle Lee Ste 163
Los Alamitos, CA 90720-2572

Mailing address

10571 Calle Lee Ste 163
Los Alamitos, CA 90720-2572
Phone (562) 296-2120

Other identifiers 2

IdentifierTypeStateIssuer
1194014407MedicaidCA
PHY50465OtherCAPHARMACY LICENSE

National Provider Directory

National Provider Directory

Locations

10571 Calle Lee
Ste 163
Los Alamitos, CA 90720
Phone (562) 296-2120

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1194014407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10571 CALLE LEE STE 163",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202572",
            "telephone_number": "562-296-2120",
            "fax_number": "562-296-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10571 CALLE LEE STE 163",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202572",
            "telephone_number": "562-296-2120",
            "fax_number": "562-296-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPT INFUSION PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "DONATHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-296-2120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY50465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194014407",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY50465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.