Organization Active NPI

RSS Pharmacy Associate LLC

Doing business as Cole's Village Pharmacy

  • Community/Retail Pharmacy
  • Corona, CA
National Provider Identifier
1629359856
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50781 Issued in CA
Legal business name
RSS PHARMACY ASSOCIATE LLC
Doing business as
Cole's Village Pharmacy
Practice address
223 E 3Rd St
Corona, CA 92879-1438
Phone
(951) 444-7057
Fax
(951) 444-7056
NPI assigned
Sep 1, 2011
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Samir Patel
Title
Owner
Phone
(951) 444-7057

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY50781 CA Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

223 E 3Rd St
Corona, CA 92879-1438

Mailing address

223 E 3Rd St
Corona, CA 92879-1438
Phone (951) 444-7057

Other identifiers 1

IdentifierTypeStateIssuer
2132078OtherPK

Other names 1

  • Cole's Village Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

223 E 3rd St
Corona, CA 92879
Phone (951) 444-7057

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1629359856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 3RD ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791438",
            "telephone_number": "951-444-7057",
            "fax_number": "951-444-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 3RD ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791438",
            "telephone_number": "951-444-7057",
            "fax_number": "951-444-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSS PHARMACY ASSOCIATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-444-7057"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50781",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cole's Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.