Active NPI
Seaside Prescription Pharmacy Inc
- Pharmacy
- San Pedro, CA
National Provider Identifier
1487649240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY43976
- Legal business name
- SEASIDE PRESCRIPTION PHARMACY INC
- Practice address
- 599 W 7TH St
San Pedro, CA 90731-3115 - Phone
- (310) 833-3551
- Fax
- (310) 833-3552
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph R Seibert, RPH
- Title
- President
- Phone
- (310) 833-3551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY43976 | CA | Primary |
Addresses
Primary practice location
599 W 7TH St
San Pedro, CA 90731-3115
Mailing address
599 W 7TH St
San Pedro, CA 90731-3115
Phone (310) 833-3551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY43976 | Other | CA | PHARMACY LIC # |
| PHA439760 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Pedro, CA
- NPI 1760749022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1487649240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313115",
"telephone_number": "310-833-3551",
"fax_number": "310-833-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 W 7TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313115",
"telephone_number": "310-833-3551",
"fax_number": "310-833-3552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASIDE PRESCRIPTION PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SEIBERT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-833-3551",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY43976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LIC #",
"identifier": "PHY43976",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA439760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.