NPIMap

Organization Active NPI

Script Life Inc

Doing business as Script Life Pharmacy

  • Community/Retail Pharmacy
  • Clovis, CA
National Provider Identifier
1265665517
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50069 Issued in CA
Legal business name
SCRIPT LIFE INC
Doing business as
Script Life Pharmacy
Practice address
255 W Herndon Ave Ste 101
Clovis, CA 93612-0381
Phone
(559) 324-1808
Fax
(559) 324-1876
NPI assigned
Sep 2, 2009
Last updated
Nov 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
Khoa HuynhNPI 1649663469
Title
President
Phone
(559) 451-6690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 50069 CA Primary

Addresses

Primary practice location

255 W Herndon Ave Ste 101
Clovis, CA 93612-0381

Mailing address

255 W Herndon Ave Ste 101
Clovis, CA 93612-0381
Phone (559) 324-1808

Other identifiers 1

IdentifierTypeStateIssuer
2121793OtherPK

Other names 1

  • Script Life Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1265665517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-324-1808",
            "fax_number": "559-324-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W HERNDON AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120381",
            "telephone_number": "559-324-1808",
            "fax_number": "559-324-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPT LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "KHOA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-451-6690"
    },
    "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": "50069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Script Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.