Center Community Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

ZD030430 Issued in CA

Legal business name

CENTER COMMUNITY PHARMACY

Practice address

2035 Main St
Fortuna, CA 95540-2227

Phone

(707) 725-9365

Fax

(707) 725-9404

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Richard Center

Title

Owner Pharmacist

Phone

(707) 725-9365

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386799641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 MAIN ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402227",
            "telephone_number": "707-725-9365",
            "fax_number": "707-725-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 MAIN ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402227",
            "telephone_number": "707-725-9365",
            "fax_number": "707-725-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CENTER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "707-725-9365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "ZD030430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.