Organization Active NPI

Target

  • Pharmacist
  • Chino, CA
National Provider Identifier
1336525054
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
72803 Issued in CA
Legal business name
TARGET
Practice address
3944 Grand Ave
Chino, CA 91710-5422
Phone
(909) 465-5804
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Monica Trivedi, RPHNPI 1811318306
Title
Pharmacy Business Partner
Phone
(714) 654-4031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 72803 CA Primary

Addresses

Primary practice location

3944 Grand Ave
Chino, CA 91710-5422

Mailing address

14369 Mountain Ave
Chino, CA 91710-1386
Phone (209) 403-8563

National Provider Directory

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": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1336525054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14369 MOUNTAIN AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101386",
            "telephone_number": "209-403-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 GRAND AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105422",
            "telephone_number": "909-465-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PHARMACY BUSINESS PARTNER",
        "authorized_official_telephone_number": "714-654-4031",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.