Preuss Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44383 Issued in CA

Legal business name

PREUSS PHARMACY

Practice address

844 Santa Cruz Ave
Menlo Park, CA 94025-4610

Phone

(650) 321-8045

Fax

(650) 321-7105

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Celedon, PHARM D.

Title

Owner

Phone

(650) 321-8045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1609918820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 SANTA CRUZ AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254610",
            "telephone_number": "650-321-8045",
            "fax_number": "650-321-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 SANTA CRUZ AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254610",
            "telephone_number": "650-321-8045",
            "fax_number": "650-321-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREUSS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "CELEDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-321-8045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Menlo Park, CA
• Providers in Menlo Park, 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 Jul 16, 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.