NPIMap

Organization Active NPI

L M Caldwell Pharmacist Inc

  • Community/Retail Pharmacy
  • Santa Barbara, CA
National Provider Identifier
1366592602
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY30912 Issued in CA
Legal business name
L M CALDWELL PHARMACIST INC
Practice address
235 W Pueblo St
Santa Barbara, CA 93105-3892
Phone
(805) 682-7353
Fax
(805) 563-2549
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Peter Craig Caldwell, PD
Title
Owner
Phone
(805) 965-4528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY30912 CA Primary

Addresses

Primary practice location

235 W Pueblo St
Santa Barbara, CA 93105-3892

Mailing address

235 W Pueblo St
Santa Barbara, CA 93105-3892
Phone (805) 682-7353

Other identifiers 2

IdentifierTypeStateIssuer
PHA199620MedicaidCA
0547072OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • L M CALDWELL PHARMACIST Doing business as

National Provider Directory

National Provider Directory
Tax ID family
L M Caldwell Pharmacist3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

235 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 682-7353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1366592602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053892",
            "telephone_number": "805-682-7353",
            "fax_number": "805-563-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W PUEBLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053892",
            "telephone_number": "805-682-7353",
            "fax_number": "805-563-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L M CALDWELL PHARMACIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-965-4528",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA199620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0547072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L M CALDWELL PHARMACIST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.