NPIMap

Organization Active NPI

Fullerton Medical Pharmacy Inc

  • Long Term Care Pharmacy
  • Fullerton, CA
National Provider Identifier
1346862257
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FULLERTON MEDICAL PHARMACY INC
Practice address
1401 S Brookhurst Rd Ste 101
Fullerton, CA 92833-4492
Phone
(714) 992-4908
NPI assigned
May 13, 2020
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Inseek Eddie HamNPI 1356547921
Title
Owner
Phone
(714) 992-4908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1401 S Brookhurst Rd Ste 101
Fullerton, CA 92833-4492

Mailing address

1401 S Brookhurst Rd Ste 101
Fullerton, CA 92833-4492

National Provider Directory

National Provider Directory
Tax ID family
Fullerton Care Pharmacy Inc2 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

1401 S Brookhurst Rd
Ste 101
Fullerton, CA 92833
Phone (714) 992-4908

Practitioners & affiliated clinicians

Practitioners 6

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": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1346862257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD STE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BROOKHURST RD STE 101",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334492",
            "telephone_number": "714-992-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "INSEEK",
        "authorized_official_middle_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-992-4908"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.