Organization Active NPI

Medley Pharmco, Inc

Doing business as Seaview Pharmacy

  • Community/Retail Pharmacy
  • San Clemente, CA
National Provider Identifier
1447446950
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA39198 Issued in CA
Legal business name
MEDLEY PHARMCO, INC
Doing business as
Seaview Pharmacy
Practice address
665 Camino de Los Mares Ste 101
San Clemente, CA 92673-2840
Phone
(949) 496-0123
Fax
(949) 496-0489
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Gerald G Medley
Title
President
Phone
(949) 496-0123

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHA39198 CA
Community/Retail Pharmacy 3336C0003X PHA39198 CA Primary
Compounding Pharmacy 3336C0004X PHA39198 CA

Addresses

Primary practice location

665 Camino de Los Mares Ste 101
San Clemente, CA 92673-2840

Mailing address

665 Camino de Los Mares Ste 101
San Clemente, CA 92673-2840
Phone (949) 496-0123

Other names 1

  • Seaview Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

665 Camino de los Mares
Ste 101
San Clemente, CA 92673
Phone (949) 369-8249

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1447446950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732840",
            "telephone_number": "949-496-0123",
            "fax_number": "949-496-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732840",
            "telephone_number": "949-496-0123",
            "fax_number": "949-496-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLEY PHARMCO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-496-0123"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHA39198",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHA39198",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHA39198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaview Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.