Maevelle LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAEVELLE LLC

Doing business as

Island Pharmacy

Practice address

2095 San Joaquin Hills Rd
Newport Beach, CA 92660-6505

Phone

(949) 640-0455

Fax

(949) 209-5869

NPI assigned

Apr 4, 2013

Last updated

Apr 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Mahlmann, PHARM D

Title

Member/Pic

Phone

(949) 640-0455

Specialties & licenses 1

Addresses

Other names 1

• ISLAND PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1598008922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606505",
            "telephone_number": "949-640-0455",
            "fax_number": "949-209-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606505",
            "telephone_number": "949-640-0455",
            "fax_number": "949-209-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAEVELLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "MAHLMANN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "MEMBER/PIC",
        "authorized_official_telephone_number": "949-640-0455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Newport Beach, CA
• Providers in Newport Beach, 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 Apr 4, 2013; 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.