Organization Active NPI

Afp Drugstore, Inc.

Doing business as A Family Pharmacy Apple Valley

  • Community/Retail Pharmacy
  • Apple Valley, CA
National Provider Identifier
1316204241
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AFP DRUGSTORE, INC.
Doing business as
A Family Pharmacy Apple Valley
Practice address
15863 Kasota Rd
Suite C
Apple Valley, CA 92307-4507
Phone
(760) 242-5452
NPI assigned
Apr 17, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Mr. Thomas Tekele
Title
President
Phone
(760) 242-5452

Specialties & licenses 1

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

Addresses

Primary practice location

15863 Kasota Rd
Suite C
Apple Valley, CA 92307-4507

Mailing address

PO Box 900
Victorville, CA 92393-0900
Phone (760) 242-5452

Other identifiers 1

IdentifierTypeStateIssuer
3440839OtherCACA CORP

Other names 1

  • A Family Pharmacy Apple Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Family Pharmacy Apple Valley2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1316204241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923930900",
            "telephone_number": "760-242-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15863 KASOTA RD",
            "address_2": "SUITE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074507",
            "telephone_number": "760-242-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFP DRUGSTORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "TEKELE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-5452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA CORP",
            "identifier": "3440839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Family Pharmacy Apple Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.