Fountain Valley Cancer Center Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY43274 Issued in CA

Legal business name

FOUNTAIN VALLEY CANCER CENTER PHARMACY

Practice address

11190 Warner Ave
Suite 111
Fountain Valley, CA 92708-4019

Phone

(714) 979-3784

Fax

(714) 436-9217

NPI assigned

Jan 15, 2007

Last updated

Apr 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marc Louis Horwitz, R.PH.

Title

President Pharmacist in Charge

Phone

(714) 979-3784

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1275684474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 111",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-979-3784",
            "fax_number": "714-436-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 111",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-979-3784",
            "fax_number": "714-436-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VALLEY CANCER CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "HORWITZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-979-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA432740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Force, BT
• Teresa Lynn Ford
• Asiah Fortuna
• Brooke Ariel Foster, OTR, OTD
• Fountain Valley Anesthesiology Medical Associates, Inc.
• Fountain Valley Cardiology Medical Clinic Inc.
• Fountain Valley Central Pharmacy Inc (Fountain Valley Central Pharmacy)
• Fountain Valley Community Healthcare, LLC (Fountain Valley Post Acute)
• Fountain Valley Emergency Physicians, P.C.
• Fountain Valley Heallthcare Center

• Community/Retail Pharmacy in Fountain Valley, CA
• Providers in Fountain Valley, 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 Apr 1, 2011; 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.