Seventh Day Adventists Loma Linda University Medical Center, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49912 Issued in CA

Legal business name

SEVENTH DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC.

Doing business as

Loma Linda University Medical Center - Meridian Pharmacy

Practice address

25875 Barton Rd
Ste B-108
Loma Linda, CA 92354-3891

Phone

(909) 558-3766

Fax

(909) 558-3791

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Paul Norris, RPH

Title

Exec. Director of Pharmacy Services

Phone

(909) 558-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Loma Linda University Medical Center - Meridian Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1447485990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25875 BARTON RD",
            "address_2": "SUITE B-108",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543891",
            "telephone_number": "909-558-3766",
            "fax_number": "909-558-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25875 BARTON RD",
            "address_2": "STE B-108",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543891",
            "telephone_number": "909-558-3766",
            "fax_number": "909-558-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTH DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXEC. DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "909-558-4500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5634995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loma Linda University Medical Center - Meridian Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Serna-Fonseca
• Elias Loza Serna
• Ryan M. Serrano, M.D.
• Sara Jane Servin, RN
• Martine Seudeal, M.D.
• Seventh-Day Adventists Loma Linda University Medical Center (Loma Linda University Medical Center)
• Seventh-Day Adventists Loma Linda University Medical Center
• Seventh-Day Adventists Loma Linda University Medical Center (Loma Linda University Medical Center)
• Seventh-Day Adventists Loma Linda University Medical Center (Loma Linda University Medical Center)
• Seventh-Day Adventists Loma Linda University Medical Center (Loma Linda University Medical Center)

• Community/Retail Pharmacy in Loma Linda, CA
• Providers in Loma Linda, 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 Oct 7, 2014; 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.