Nordahl RX, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NORDAHL RX, INC.

Practice address

740 Nordahl Rd Ste 120
San Marcos, CA 92069-3545

Phone

(760) 501-0030

NPI assigned

Jan 9, 2025

Organization subpart

No

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

Authorized official

Name

Casey Hoang

Title

Pres./Ceo/Dir.

Phone

(858) 357-4207

Specialties & licenses 2

Addresses

Other names 1

• Nordahl Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1497565626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 NORDAHL RD STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NORDAHL RD STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693545",
            "telephone_number": "760-501-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDAHL RX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRES./CEO/DIR.",
        "authorized_official_telephone_number": "858-357-4207"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nordahl Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.