Pharmacy Service Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY11381 Issued in CA

Legal business name

PHARMACY SERVICE INC

Doing business as

BEEMANS RX PHARMACY

Practice address

355 E 21St St
San Bernardino, CA 92404-4824

Phone

(909) 882-3719

Fax

(909) 881-2390

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Robert Beeman, PHARM D

Title

Owner

Phone

(909) 882-3719

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BEEMANS RX PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mountain Healthcare Inc

  • Community/Retail Pharmacy
  • Lake Arrowhead, CA
  • NPI 1407926215

  8820151137

  Same PAC ID

Tax ID family

Beemans Highland Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmacy Service Inc

  • Community/Retail Pharmacy
  • San Bernardino, CA
  • NPI 1518079508
  NPD tax ID
• Pharmacy Service Inc.

  • Pharmacist
  • San Bernardino, CA
  • NPI 1780038570
  NPD tax ID

Locations

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1285736694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE",
            "address_2": "SUITE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043808",
            "telephone_number": "909-882-3719",
            "fax_number": "909-881-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044824",
            "telephone_number": "909-882-3719",
            "fax_number": "909-881-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BEEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-882-3719",
        "authorized_official_credential": "PHARM D"
    },
    "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": "PHY11381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087708",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA113180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEEMANS RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thanh Trung Pham
• Tuan Pham, DDS
• Julie Phan, O.D.
• Ronald Phan
• Tim Phan, DPT
• Pharmacy Service Inc
• Pharmacy Service Inc.
• Damany Phifer
• Joshua Thomas Phifer, RDN, CDCES, MCHES
• Cecelia Herrera Philhower

• Community/Retail Pharmacy in San Bernardino, CA
• Providers in San Bernardino, 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 May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.