Tustin Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

TUSTIN PHARMACY, INC.

Doing business as

Tustin Pharmacy

Practice address

13400 Newport Ave
Tustin, CA 92780-3753

Phone

(714) 731-1344

Fax

(714) 731-7363

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Archana Vachhani

Title

Ceo/Sec./Dir.

Phone

(562) 569-0522

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tustin Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Jerry Don Oswald, PHARMD

  • Pharmacist
  • Tustin, CA
  • NPI 1003574963
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1295281285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803753",
            "telephone_number": "714-731-1344",
            "fax_number": "714-731-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803753",
            "telephone_number": "714-731-1344",
            "fax_number": "714-731-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSTIN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "VACHHANI",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "CEO/SEC./DIR.",
        "authorized_official_telephone_number": "562-569-0522"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tustin Hospital and Medical Center (Newport Specialty Hospital)
• Tustin Hospital and Medical Center
• Tustin Irvine Internal Medicine Group Inc.
• Tustin Longevity Center
• Tustin Longevity Center
• Tustin Physical Therapy Specialists, Inc.
• Tustin Place Medical Group
• Tustin Podiatry Clinic Inc
• Tustin Speech Therapy Inc.
• Tustin Speech Therapy, Inc

• Pharmacy in Tustin, CA
• Providers in Tustin, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.