Organization Active NPI

Seven 0-2 Pharmacy

  • Pharmacist
  • Porterville, CA
National Provider Identifier
1295890978
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH30460 Issued in CA
Legal business name
SEVEN 0-2 PHARMACY
Practice address
406 W Putnam Ave
Porterville, CA 93257-3321
Phone
(559) 784-4702
NPI assigned
Dec 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Gregory L Kurtz, RPH
Title
Owner
Phone
(559) 784-4702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RPH30460 CA Primary

Addresses

Primary practice location

406 W Putnam Ave
Porterville, CA 93257-3321

Mailing address

406 W Putnam Ave
Porterville, CA 93257-3321
Phone (559) 784-4702

Other identifiers 1

IdentifierTypeStateIssuer
PHY350340MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1295890978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573321",
            "telephone_number": "559-784-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573321",
            "telephone_number": "559-784-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVEN 0-2 PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-24",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-784-4702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH30460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY350340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.