Empire Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50031 Issued in CA

Legal business name

EMPIRE DRUG COMPANY INC

Practice address

6652 Front St
Forestville, CA 95436-9688

Phone

(707) 887-2260

Fax

(707) 887-0106

NPI assigned

Sep 18, 2009

Organization subpart

No

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

Authorized official

Name

Peter Summers

Title

President

Phone

(707) 887-2260

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Forestville Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1447584792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6652 FRONT ST",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369688",
            "telephone_number": "707-887-2260",
            "fax_number": "707-887-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6652 FRONT ST",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369688",
            "telephone_number": "707-887-2260",
            "fax_number": "707-887-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-887-2260"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forestville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forrest O Beaty, MD
• Margaret Anne Eaugallie, R.N., I.B.C.L.C.
• Ecosky Farms LLC
• El Molino Pharmacy LLC
• Empire Drug Company Inc.
• Ep Behavior Consulting
• Family Focus Doula Care
• Ellen Faryna, PH.D.
• Fed Med Inc

• Community/Retail Pharmacy in Forestville, CA
• Providers in Forestville, 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 Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.