Newport Center Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46789 Issued in CA

Legal business name

NEWPORT CENTER PHARMACY

Practice address

1401 Avocado Ave Ste 104
Newport Beach, CA 92660-8700

Phone

(949) 640-1320

Fax

(949) 640-1324

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Niloufar KhorshidNPI 1558233510

Title

Owner Pic

Phone

(949) 640-1320

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NEWPORT CENTER PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niloufar Khorshid

  • Pharmacist
  • Newport Beach, CA
  • NPI 1558233510
  NPD (past) Authorized official
• Ted Nishimura, RPH

  • Community/Retail Pharmacy
  • Newport Beach, CA
  • NPI 1265233878
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1285713941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608700",
            "telephone_number": "949-640-1320",
            "fax_number": "949-640-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 104",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608700",
            "telephone_number": "949-640-1320",
            "fax_number": "949-640-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KHORSHID",
        "authorized_official_first_name": "NILOUFAR",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "949-640-1320"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995351",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWPORT CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Newport Center Dental Group
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• Newport Center for Special Surgery
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• Newport Center Orthopedic, Inc
• Newport Center Radiology Associates Medical Group Inc
• Newport Center Surgical
• Newport Centre Outpatient Surgery Facilities, Inc.
• Newport Children'S Medical Group
• Newport Chiropractic Center

• Community/Retail Pharmacy in Newport Beach, CA
• Providers in Newport Beach, 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 Feb 14, 2017; 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.