Organization Active NPI

Pharmacy Alternatives California, Inc.

  • Long Term Care Pharmacy
  • Orange, CA
National Provider Identifier
1457306854
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY47531 Issued in CA
Legal business name
PHARMACY ALTERNATIVES CALIFORNIA, INC.
Practice address
4709 E Chapman Ave
Orange, CA 92869-4112
Phone
(714) 633-7700
Fax
(714) 633-7755
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Ms. Deena G. Ombres
Title
Assoc. Gen. Counsel/Privacy Officer
Phone
(502) 394-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PHY47531 CA Primary

Addresses

Primary practice location

4709 E Chapman Ave
Orange, CA 92869-4112

Mailing address

9901 Linn Station Rd
Louisville, KY 40223-3808

Other identifiers 2

IdentifierTypeStateIssuer
PHA420800MedicaidCA
0578027OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PAL CA Other name

National Provider Directory

National Provider Directory
Tax ID family
CWD Closed Door3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1457306854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 LINN STATION RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694112",
            "telephone_number": "714-633-7700",
            "fax_number": "714-633-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ALTERNATIVES CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "OMBRES",
        "authorized_official_first_name": "DEENA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ASSOC. GEN. COUNSEL/PRIVACY OFFICER",
        "authorized_official_telephone_number": "502-394-2100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY47531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA420800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0578027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAL CA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.