Organization Active NPI

Ramona Pharmacy

  • Community/Retail Pharmacy
  • Ramona, CA
National Provider Identifier
1588718399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY462900 Issued in CA
Legal business name
RAMONA PHARMACY
Practice address
677 Main St
Ramona, CA 92065-2043
Phone
(760) 789-0180
Fax
(760) 789-7945
NPI assigned
Jan 22, 2007
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. Bryan Earl Woods, RPHNPI 1831250638
Title
Owner
Phone
(760) 789-0180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY462900 CA Primary

Addresses

Primary practice location

677 Main St
Ramona, CA 92065-2043

Mailing address

677 Main St
Ramona, CA 92065-2043
Phone (760) 789-0180

Other identifiers 1

IdentifierTypeStateIssuer
PHA462900MedicaidCA

National Provider Directory

National Provider Directory

Locations

677 Main St
Ramona, CA 92065
Phone (760) 789-0180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588718399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652043",
            "telephone_number": "760-789-0180",
            "fax_number": "760-789-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652043",
            "telephone_number": "760-789-0180",
            "fax_number": "760-789-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMONA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-789-0180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY462900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, 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.