NPIMap

Organization Active NPI

Choc Clinic Pharmacy

  • Community/Retail Pharmacy
  • Orange, CA
National Provider Identifier
1215098470
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY37215 Issued in CA
Legal business name
CHOC CLINIC PHARMACY
Practice address
1201 W la Veta Ave
Orange, CA 92868-4203
Phone
(714) 509-8856
Fax
(714) 509-4371
NPI assigned
Dec 12, 2006
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Kerri Ruppert Schiller
Title
Chief Financial Officer
Phone
(714) 509-8451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY37215 CA Primary

Addresses

Primary practice location

1201 W la Veta Ave
Orange, CA 92868-4203

Mailing address

1201 W la Veta Ave
Orange, CA 92868-4203
Phone (714) 509-8856

Other practice location 1

455 S Main St
Orange, CA 92868-3835
Phone (714) 532-8856

Other identifiers 1

IdentifierTypeStateIssuer
PHY37215OtherCAPHARMACY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Regional Ctr for the55 organizations share this tax ID, including this one
Part of
Regional Ctr for the

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215098470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203",
            "telephone_number": "714-509-8856",
            "fax_number": "714-509-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203",
            "telephone_number": "714-509-8856",
            "fax_number": "714-509-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 S Main St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683835",
            "country_code": "US",
            "telephone_number": "714-532-8856",
            "fax_number": "714-516-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHOC CLINIC PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF ORANGE COUNTY",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "RUPPERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-509-8451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY37215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.