NPIMap

Organization Active NPI

Yds Pharmacy Corporation

Doing business as Your Drug Store

  • Community/Retail Pharmacy
  • Rialto, CA
National Provider Identifier
1548547235
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50787 Issued in CA
Legal business name
YDS PHARMACY CORPORATION
Doing business as
Your Drug Store
Practice address
1850 N Riverside Ave Ste 170
Rialto, CA 92376-8056
Phone
(909) 546-1300
Fax
(909) 546-1304
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Brandon Huynh
Title
President
Phone
(760) 927-3710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY50787 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1850 N Riverside Ave Ste 170
Rialto, CA 92376-8056

Mailing address

PO Box 968
Atwood, CA 92811-0968
Phone (714) 798-5808

Other identifiers 1

IdentifierTypeStateIssuer
5642447OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Your Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yds Pharmacy Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1850 N Riverside Ave
Ste 170
Rialto, CA 92376
Phone (909) 546-1300

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1548547235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "ATWOOD",
            "state": "CA",
            "postal_code": "928110968",
            "telephone_number": "714-798-5808",
            "fax_number": "760-269-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 170",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768056",
            "telephone_number": "909-546-1300",
            "fax_number": "909-546-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YDS PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-927-3710"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50787",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5642447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.