Organization Active NPI

Optimum Care Pharmacy Inc.

  • Community/Retail Pharmacy
  • San Juan Capistrano, CA
National Provider Identifier
1306298492
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
54455 Issued in CA
Legal business name
OPTIMUM CARE PHARMACY INC.
Practice address
31103 Rancho Viejo Rd Ste D1
San Juan Capistrano, CA 92675-1759
Phone
(949) 388-2364
Fax
(949) 388-2370
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Ahmad Almasri
Title
Pharmacy Manager
Phone
(949) 388-2364

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 54455 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

31103 Rancho Viejo Rd Ste D1
San Juan Capistrano, CA 92675-1759

Mailing address

31103 Rancho Viejo Rd Ste D1
San Juan Capistrano, CA 92675-1759
Phone (949) 388-2364

Other identifiers 1

IdentifierTypeStateIssuer
2162045OtherPK

Other names 1

  • Marbella Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1306298492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31103 RANCHO VIEJO RD STE D1",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751759",
            "telephone_number": "949-388-2364",
            "fax_number": "949-388-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31103 RANCHO VIEJO RD STE D1",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751759",
            "telephone_number": "949-388-2364",
            "fax_number": "949-388-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "ALMASRI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "949-388-2364"
    },
    "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": "54455",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marbella Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marbella Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.