Wade J Dahlberg Sr

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY50393 Issued in CA

Legal business name

WADE J DAHLBERG SR

Doing business as

West Coast Pharmaceutical Services

Practice address

2697 Lavery CT Ste 7
Newbury Park, CA 91320-1587

Phone

(805) 499-0100

Fax

(805) 499-0199

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

William Dahlberg

Title

Operation MGT

Phone

(702) 373-9215

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• West Coast Pharmaceutical Services Doing business as

Locations

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1649576364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 LAVERY CT STE 7",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201587",
            "telephone_number": "805-499-0100",
            "fax_number": "805-499-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 LAVERY CT STE 7",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913201587",
            "telephone_number": "805-499-0100",
            "fax_number": "805-499-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE J DAHLBERG SR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "DAHLBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OPERATION MGT",
        "authorized_official_telephone_number": "702-373-9215"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY50393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5640087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Pharmaceutical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.