San Juan Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SAN JUAN PHARMACY

Practice address

31901 Camino Capistrano
Suite #8
San Juan Capistrano, CA 92675-3238

Phone

(949) 493-4559

Fax

(949) 493-8247

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Suh

Title

Owner

Phone

(949) 493-4559

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• San Juan Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221868800000",
    "number": "1295837003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31901 CAMINO CAPISTRANO",
            "address_2": "SUITE #8",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753238",
            "telephone_number": "949-493-4559",
            "fax_number": "949-493-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31901 CAMINO CAPISTRANO",
            "address_2": "SUITE #8",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753238",
            "telephone_number": "949-493-4559",
            "fax_number": "949-493-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-09-20",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-493-4559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA410280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chantal Angela Sanchez
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• Michele Denise Sandberg
• Andrea Michell Sandoval, DC
• Tiffany Sandoval, CMT

• Pharmacy in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.