Organization Active NPI

Clinical Pharmacies Inc

  • Durable Medical Equipment & Medical Supplies
  • Huntington Beach, CA
National Provider Identifier
1578630836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
W1511 Issued in CA
Legal business name
CLINICAL PHARMACIES INC
Practice address
21622 Surveyor Cir
Huntington Beach, CA 92646-7068
Phone
(714) 969-6818
Fax
(714) 969-2320
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carl William Grodach, RPH
Title
President
Phone
(714) 969-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X W1511 CA Primary

Addresses

Primary practice location

21622 Surveyor Cir
Huntington Beach, CA 92646-7068

Mailing address

21622 Surveyor Cir
Huntington Beach, CA 92646-7068
Phone (714) 969-6818

Other names 1

  • c p medical Doing business as

National Provider Directory

National Provider Directory

Locations

21622 Surveyor Cir
Huntington Beach, CA 92646
Phone (714) 969-6818

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578630836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21622 SURVEYOR CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467068",
            "telephone_number": "714-969-6818",
            "fax_number": "714-969-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21622 SURVEYOR CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467068",
            "telephone_number": "714-969-6818",
            "fax_number": "714-969-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRODACH",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-969-6818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "W1511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "c p medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.