NPIMap

Organization Active NPI

Derm Contact PLLC

  • Community/Retail Pharmacy
  • Temecula, CA
National Provider Identifier
1235516915
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
55273 Issued in CA
Legal business name
DERM CONTACT PLLC
Practice address
31515 Rancho Pueblo Rd
Suite 105
Temecula, CA 92592
Phone
(951) 834-5303
Fax
(951) 943-4645
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Mr. Quinn Christensen
Title
Owner
Phone
(951) 834-5303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 55273 CA Primary

Addresses

Primary practice location

31515 Rancho Pueblo Rd
Suite 105
Temecula, CA 92592

Mailing address

31515 Rancho Pueblo Rd
Suite 105
Temecula, CA 92592
Phone (951) 834-5303

Other names 1

  • Rancho Pueblo Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1235516915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31515 RANCHO PUEBLO RD",
            "address_2": "SUITE 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-834-5303",
            "fax_number": "951-943-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31515 RANCHO PUEBLO RD",
            "address_2": "SUITE 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-834-5303",
            "fax_number": "951-943-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERM CONTACT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "QUINN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-834-5303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Pueblo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.