Active NPI
Cabrillo Pharmacy
- Compounding Pharmacy
- Ventura, CA
National Provider Identifier
1447315213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- AD20581
- Legal business name
- CABRILLO PHARMACY
- Practice address
- 146 N Brent St
Ventura, CA 93003-2810 - Phone
- (805) 643-9939
- NPI assigned
- Dec 22, 2006
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert L Blomquist, RPH
- Title
- Owner
- Phone
- (805) 643-9939
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 |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | AD20581 | CA | Primary |
Addresses
Primary practice location
146 N Brent St
Ventura, CA 93003-2810
Mailing address
146 N Brent St
Ventura, CA 93003-2810
Phone (805) 643-9939
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0549545 | Other | NABP | |
| PHY 48586 | Other | CA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
146 N Brent St
Ventura, CA 93003
Phone (805) 643-9939
Practitioners & affiliated clinicians
Practitioners 2
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
- Ventura, CA
- NPI 1356439418
-
- Pharmacist
- Ventura, CA
- NPI 1043788474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1447315213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032810",
"telephone_number": "805-643-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032810",
"telephone_number": "805-643-9939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CABRILLO PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BLOMQUIST",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-643-9939",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CA",
"license": "AD20581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0549545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PHY 48586",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.