Organization Active NPI

Drug Depot Pharmacy Inc

  • Community/Retail Pharmacy
  • Santa Ana, CA
National Provider Identifier
1255632915
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50418 Issued in CA
Legal business name
DRUG DEPOT PHARMACY INC
Doing business as
Drug Depot Pharmacy, Inc
Practice address
999 N Tustin Ave Ste 12
Santa Ana, CA 92705-3530
Phone
(714) 888-5155
Fax
(877) 378-4911
NPI assigned
Nov 11, 2010
Last updated
Aug 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Luke Vu, RPH
Title
President
Phone
(877) 378-4911

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 50418 CA Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

999 N Tustin Ave Ste 12
Santa Ana, CA 92705-3530

Mailing address

960 N Tustin St Ste 388
Orange, CA 92867-5956
Phone (877) 378-4911

Other identifiers 1

IdentifierTypeStateIssuer
2128813OtherPK

Other names 1

  • Drug Depot Pharmacy, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

999 N Tustin Ave
Ste 12
Santa Ana, CA 92705
Phone (714) 542-6606

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1255632915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N TUSTIN ST STE 388",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675956",
            "telephone_number": "877-378-4911",
            "fax_number": "877-378-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 12",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053530",
            "telephone_number": "714-888-5155",
            "fax_number": "877-378-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG DEPOT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-378-4911",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50418",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Depot Pharmacy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.