Seaside Marine Intrntl Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45801 Issued in CA

Legal business name

SEASIDE MARINE INTRNTL DRUG CO INC

Practice address

595 W 7TH St Ste 207
San Pedro, CA 90731-3152

Phone

(310) 832-4363

Fax

(310) 548-5527

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Seibert, BS PHARMACY

Title

Pres

Phone

(310) 832-4363

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SEASIDE MARINE INT'L DRUG CO INC Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1477564060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W 7TH ST STE 207",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313152",
            "telephone_number": "310-832-4363",
            "fax_number": "310-548-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W 7TH ST STE 207",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313152",
            "telephone_number": "310-832-4363",
            "fax_number": "310-548-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE MARINE INTRNTL DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "SEIBERT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "310-832-4363",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA439760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2001252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEASIDE MARINE INT'L DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hasan Seede

• Community/Retail Pharmacy in San Pedro, CA
• Providers in San Pedro, 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 Apr 19, 2017; 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.