NPIMap

Organization Active NPI

CVS/Pharmacy

  • Community/Retail Pharmacy
  • Artesia, CA
National Provider Identifier
1295129666
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
68921 Issued in CA
Legal business name
CVS/PHARMACY
Practice address
11851 Artesia Blvd
Artesia, CA 90701-4002
Phone
(562) 924-9767
NPI assigned
Mar 24, 2015
Last updated
Mar 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Eddie Lee Diaz, PHARM.D.
Title
Clinical Pharmacist
Phone
(562) 924-7697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 68921 CA Primary

Addresses

Primary practice location

11851 Artesia Blvd
Artesia, CA 90701-4002

Mailing address

11851 Artesia Blvd
Artesia, CA 90701-4002
Phone (562) 924-9767

National Provider Directory

National Provider Directory
Tax ID family
CVS Caremark Corporation63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

11851 Artesia Blvd
Artesia, CA 90701
Phone (562) 467-1286

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1295129666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014002",
            "telephone_number": "562-924-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014002",
            "telephone_number": "562-924-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS/PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL PHARMACIST",
        "authorized_official_telephone_number": "562-924-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "68921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.