Archangel Michael Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54283 Issued in CA

Legal business name

ARCHANGEL MICHAEL PHARMACY INC

Doing business as

Archangel Michael Pharmacy

Practice address

31754 Temecula Pkwy Ste D
Temecula, CA 92592-6805

Phone

(951) 302-7733

Fax

(951) 302-7717

NPI assigned

Jan 19, 2016

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Galey

Title

Owner/Ceo/Ao/Pic

Phone

(951) 302-7733

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Archangel Michael Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1316304611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31754 TEMECULA PKWY STE D",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926805",
            "telephone_number": "951-302-7733",
            "fax_number": "951-302-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31754 TEMECULA PKWY STE D",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926805",
            "telephone_number": "951-302-7733",
            "fax_number": "951-302-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANGEL MICHAEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "GALEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/CEO/AO/PIC",
        "authorized_official_telephone_number": "951-302-7733"
    },
    "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": "PHY54283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archangel Michael Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Temecula, CA
• Providers in Temecula, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.