Organization Active NPI

Anjaneya RX

  • Community/Retail Pharmacy
  • Oceanside, CA
National Provider Identifier
1609116649
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51155 Issued in CA
Legal business name
ANJANEYA RX
Practice address
3601 Vista Way Ste 103
Oceanside, CA 92056
Phone
(310) 972-0372
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Tarun Shyam WadhwaNPI 1821398884
Title
Pharmacist
Phone
(310) 972-0372

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 PHY51155 CA Primary

Addresses

Primary practice location

3601 Vista Way Ste 103
Oceanside, CA 92056

Mailing address

3601 Vista Way Ste 103
Oceanside, CA 92056-4559
Phone (310) 972-0372

Other names 1

  • OCEANSIDE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130820000042 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2466694583 Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

3601 Vista Way
Ste 103
Oceanside, CA 92056
Phone (310) 972-0372

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": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1609116649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY STE 103",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564559",
            "telephone_number": "310-972-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 VISTA WAY STE 103",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "310-972-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJANEYA RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "TARUN",
        "authorized_official_middle_name": "SHYAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-972-0372"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OCEANSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OCEANSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.