Cedar Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY46203 Issued in CA

Legal business name

CEDAR PHARMACY INC

Doing business as

cedar pharmacy

Practice address

10737 Camino Ruiz
San Diego, CA 92126-2361

Phone

(858) 536-7799

Fax

(858) 536-7716

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Bernard Gramlich

Title

Ceo

Phone

(858) 536-7799

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• cedar pharmacy Doing business as

Tax ID family

Cedar Pharmacy2 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.

• Cedar Pharmacy

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1982619573
  NPD tax ID

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1376524025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ",
            "address_2": "#138",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "858-536-7799",
            "fax_number": "858-536-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262361",
            "telephone_number": "858-536-7799",
            "fax_number": "858-536-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GRAMLICH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-536-7799",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY46203",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cedar pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Cecena
• Brandon A Cecil
• Grace Lumenario Cecilio, RN
• Maria Theresa Longakit Cecilio, DPT
• Michael D Cecilio, M.D.
• Helen Cedeno Lebron
• Monica Cedeno
• Aidee Gicel Cedillo
• Jill Cedillo
• Miriam Yaneth Cedillo

• Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.