Hunnell's Medical Arts Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY40288 Issued in CA

Legal business name

HUNNELL'S MEDICAL ARTS PHARMACY

Practice address

1121 W Vine St
Lodi, CA 95240-5137

Phone

(209) 369-3551

Fax

(209) 369-0225

NPI assigned

Oct 5, 2006

Last updated

Jun 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas K Wilcox, PHARM.D.

Title

Director

Phone

(209) 369-3551

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1659467561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405137",
            "telephone_number": "209-369-3551",
            "fax_number": "209-369-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W VINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405137",
            "telephone_number": "209-369-3551",
            "fax_number": "209-369-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNNELL'S MEDICAL ARTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-369-3551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY40288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0587141",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA402880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linden Addison Howe, LMFT
• Robert Glenn Howen, MD
• HT Family Physicians
• Frank T Huang, MD
• Michelle Anne Hulstrom, CCC-SLP
• Jeff Huston, DDS, MS
• Cu Van Huynh, PHARMD
• Hieu Huynh
• Lily Thanhhuong Huynh, PHARMD
• My Huynh, RPH

• Pharmacy in Lodi, CA
• Providers in Lodi, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.