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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 53860
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157232 | Other | PK |
Other names 1
- Orange Express Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- B P L P a Pharmacy Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Orange Express Pharmacy
- Community/Retail Pharmacy
- Moreno Valley, CA
- NPI 1831573963
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.