Dreyfus Enterprises

Primary specialty

PharmacyTaxonomy code 333600000X

License

819437 Issued in CA

Legal business name

DREYFUS ENTERPRISES

Doing business as

Moulton Plaza Pharmacy

Practice address

23665 Moulton Pkwy
Ste a
Laguna Hills, CA 92653-1937

Phone

(949) 768-5700

Fax

(949) 768-1359

NPI assigned

Jun 28, 2005

Last updated

Aug 22, 2020By 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

Dr. Gary A Dreyfus

Title

President

Phone

(949) 768-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moulton Plaza Pharmacy Doing business as

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336146935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23665 MOULTON PKWY",
            "address_2": "STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531937",
            "telephone_number": "949-768-5700",
            "fax_number": "949-768-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23665 MOULTON PKWY",
            "address_2": "STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531937",
            "telephone_number": "949-768-5700",
            "fax_number": "949-768-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREYFUS ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DREYFUS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-768-5700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "819437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA194370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moulton Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Joan Sy Medical Corporation
• Dr.Ester Mark, a Professional Medical Corporation
• Karin Draper
• Kent Winston Drever, DC
• Heather Beth Dreyer, M.A.
• Paul C Drury, M.D.
• Julissa Duarte
• Elizabeth Dubbs
• Krystin Ducharme
• Aria Dudley

• Pharmacy in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.