Asbac Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48237 Issued in CA

Legal business name

ASBAC PHARMACY INC

Practice address

161 Thunder Dr
Suite 100
Vista, CA 92083-6016

Phone

(760) 758-7650

Fax

(760) 758-8228

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Devins, RPH

Title

Pres

Phone

(760) 758-7650

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MED CARE PHARMACY Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1205925989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 THUNDER DR",
            "address_2": "SUITE 100",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836016",
            "telephone_number": "760-758-7650",
            "fax_number": "760-758-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 THUNDER DR",
            "address_2": "SUITE 100",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836016",
            "telephone_number": "760-758-7650",
            "fax_number": "760-758-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBAC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "DEVINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "760-758-7650",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48237",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA482370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Vista, CA
• Providers in Vista, 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 Nov 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.