Pacifica Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46715 Issued in CA

Legal business name

PACIFICA PHARMACY

Practice address

18682 Beach Blvd
Ste 115
Huntington Beach, CA 92648-2048

Phone

(714) 887-9500

Fax

(714) 887-9400

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Frank Tran

Title

RPH

Phone

(714) 887-9500

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1639281553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18682 BEACH BLVD",
            "address_2": "STE 115",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18682 BEACH BLVD",
            "address_2": "STE 115",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482048",
            "telephone_number": "714-887-9500",
            "fax_number": "714-887-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "714-887-9500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5614082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5614082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacifica Orthopedics
• Pacifica Orthopedics & Sports Medicine
• Pacifica Orthopedics Medical Corporation
• Pacifica Orthopedics Medical Corporation
• Pacifica Outpatient Surgery Center
• Pacifica Primary Care Medical Group, Inc.
• Kevin Pack
• Emily Padilla
• Larissa Padilla
• Ashlee Page, PA-C

• Community/Retail Pharmacy in Huntington Beach, CA
• Providers in Huntington 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 Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.