Oc Pharmacy Specialists LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55552 Issued in CA

Legal business name

OC PHARMACY SPECIALISTS LLC

Doing business as

Sunrise Village Pharmacy

Practice address

1823 N Euclid St
Fullerton, CA 92835-3343

Phone

(714) 441-1765

Fax

(714) 441-1766

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Phuong Lam

Title

Pharmacist in Charge

Phone

(714) 441-1765

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sunrise Village Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1508227620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353343",
            "telephone_number": "714-441-1765",
            "fax_number": "714-441-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353343",
            "telephone_number": "714-441-1765",
            "fax_number": "714-441-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC PHARMACY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-441-1765"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fullerton, CA
• Providers in Fullerton, 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.