Corrections and Rehabilitation-Headquarters

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CORRECTIONS AND REHABILITATION-HEADQUARTERS

Doing business as

California Rehabilitation Center Pharmacy

Practice address

5TH and Western Ave, Module M, Room #104
Norco, CA 92860

Phone

(951) 737-2683

Fax

(951) 273-2396

NPI assigned

Aug 5, 2019

Last updated

Dec 4, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CORRECTIONS AND REHABILITATIONAs reported in NPPES

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

Authorized official

Name

Pierre Caesare Saucier James

Title

Staff Services Manager I

Phone

(510) 780-6997

Specialties & licenses 2

Addresses

Other names 1

• California Rehabilitation Center Pharmacy Doing business as

Part of

Corrections and Rehabilitation-Headquarters

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1457906745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5TH AND WESTERN AVE, MODULE M, ROOM #104",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AND WESTERN AVE, MODULE M, ROOM #104",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "92860",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONS AND REHABILITATION-HEADQUARTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRECTIONS AND REHABILITATION",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "CAESARE SAUCIER",
        "authorized_official_title_or_position": "STAFF SERVICES MANAGER I",
        "authorized_official_telephone_number": "510-780-6997"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Rehabilitation Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Rehabilitation Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth John Conlan
• Kaytlyn Contreras, MS, ATC
• Siobhan F Cooney
• Corona-Norco Usd
• Anali Corona
• Eilene Alejandra Cota Mojarro
• County of Riverside (CalWORKs Norco)
• Eric Countz, RN
• Melissa Countz, LVN
• Cox Dental Corporation (Gentle Dental Corporation)

• Pharmacy in Norco, CA
• Providers in Norco, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.