Active NPI
Star Drug Center
- Pharmacy
- Calimesa, CA
National Provider Identifier
1386633642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY37324
- Legal business name
- STAR DRUG CENTER
- Doing business as
- Star Drug Center
- Practice address
- 1151 Calimesa Blvd
Calimesa, CA 92320-1549 - Phone
- (909) 795-2457
- NPI assigned
- Oct 19, 2005
- Last updated
- Jun 12, 2008
- Organization subpart
- Yes
- Parent organization
- CALIMESA PLAZA DRUG, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Logan, PHARMACIST
- Title
- President
- Phone
- (909) 795-2457
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY37324 | CA | Primary |
Addresses
Primary practice location
1151 Calimesa Blvd
Calimesa, CA 92320-1549
Mailing address
1151 Calimesa Blvd
Calimesa, CA 92320-1549
Phone (909) 795-2457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA373240 | Medicaid | CA |
Other names 1
- Star Drug Center
National Provider Directory
National Provider Directory- Part of
- Star Drug Center
Locations
1151 Calimesa Blvd
Calimesa, CA 92320
Phone (909) 795-2457
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Calimesa, CA
- NPI 1811037658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1386633642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 CALIMESA BLVD",
"city": "CALIMESA",
"state": "CA",
"postal_code": "923201549",
"telephone_number": "909-795-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 CALIMESA BLVD",
"city": "CALIMESA",
"state": "CA",
"postal_code": "923201549",
"telephone_number": "909-795-2457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR DRUG CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CALIMESA PLAZA DRUG, INC",
"enumeration_date": "2005-10-19",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-795-2457",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY37324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA373240",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Star Drug Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Calimesa, CA
- Jessica Alejandra Rodriguez Heredia, NP
- Melissa Renee Rundquist, LVN
- Daniel Alejandro Sanchez Pla, DDS
- Kaye Rowe Sheffield, M.S., CCC/SLP
- Sol Cohen-Sedgh Dental Corporation (West Coast Dental & Orthodontics, Adult & Kids Dental Group)
- Terrence Jerald Sullivan, D.C.
- Louis Sun
- Reynaldo M Sy
- Tankersley Physician Assistant, Inc (All Valley Urgent Care Calimesa)
- Taylor Almquist Licensed Clinical Social Worker Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.