Physicians' Plaza Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55286 Issued in CA

Legal business name

PHYSICIANS' PLAZA PHARMACY, INC.

Practice address

5000 Physicians Blvd Ste 201
Bakersfield, CA 93301-5836

Phone

(661) 616-9387

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Terry Dahl

Title

Manager

Phone

(661) 215-1528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1508300765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PHYSICIANS BLVD STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015836",
            "telephone_number": "661-616-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PHYSICIANS BLVD STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015836",
            "telephone_number": "661-616-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' PLAZA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-215-1528"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vu Phung, MD
• Phuoc Thien Louis Tran DDS Inc.
• Phuoc Thien Louis Tran DDS., Inc.
• Newton S Phuong, M.D.
• Physicians Plaza Corporation
• Physiocare Physical Therapy
• Angelica Picasso
• Evangeline Picato, R.N.
• Julie Lorraine Picking, FNP-C
• Andrea Picos

• Community/Retail Pharmacy in Bakersfield, CA
• Providers in Bakersfield, 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 Dec 7, 2016; 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.