Organization Active NPI

NKS Pharmacy

  • Community/Retail Pharmacy
  • Chino, CA
National Provider Identifier
1578632071
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY41739 Issued in CA
Legal business name
NKS PHARMACY
Practice address
14182 Central Ave
Ste E
Chino, CA 91710-5765
Phone
(909) 628-2023
Fax
(909) 628-7973
NPI assigned
Nov 7, 2006
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Robert Cantoria
Title
Ceo and President
Phone
(909) 628-2023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY41739 CA Primary

Addresses

Primary practice location

14182 Central Ave
Ste E
Chino, CA 91710-5765

Mailing address

14182 Central Ave
Ste E
Chino, CA 91710-5765

Other identifiers 2

IdentifierTypeStateIssuer
0568735OtherOTHER ID NUMBER
PHA417390MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
NKS Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

14182 Central Ave
Ste E
Chino, CA 91710
Phone (909) 628-2023

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1578632071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14182 CENTRAL AVE",
            "address_2": "STE E",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14182 CENTRAL AVE",
            "address_2": "STE E",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105765",
            "telephone_number": "909-628-2023",
            "fax_number": "909-628-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "CANTORIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "909-628-2023"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0568735",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA417390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.