Organization Active NPI

B P L P a Pharmacy Corporation

Doing business as Orange Express Pharmacy

  • Community/Retail Pharmacy
  • Long Beach, CA
National Provider Identifier
1346605706
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53860 Issued in CA
Legal business name
B P L P A PHARMACY CORPORATION
Doing business as
Orange Express Pharmacy
Practice address
2220 Clark Ave
Long Beach, CA 90815-2521
Phone
(909) 877-4224
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
George Ibrahim
Title
Ceo
Phone
(909) 877-4224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY 53860 CA Primary

Addresses

Primary practice location

2220 Clark Ave
Long Beach, CA 90815-2521

Mailing address

17691 San Bernardino Ave
Fontana, CA 92335-5911
Phone (909) 877-4224

Other identifiers 1

IdentifierTypeStateIssuer
2157232OtherPK

Other names 1

  • Orange Express Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
B P L P a Pharmacy Corporation2 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.

Locations

17691 San Bernardino Ave
Fontana, CA 92335
Phone (909) 877-4224

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1346605706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17691 SAN BERNARDINO AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923355911",
            "telephone_number": "909-877-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CLARK AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152521",
            "telephone_number": "909-877-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B P L P A PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-877-4224"
    },
    "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": "PHY 53860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.