Active NPI
Health Quest Pharmacy Inc
Doing business as BK Pharmacy
- Long Term Care Pharmacy
- Pismo Beach, CA
National Provider Identifier
1679654719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY50613
- Legal business name
- HEALTH QUEST PHARMACY INC
- Doing business as
- BK Pharmacy
- Practice address
- 911 Oak Park Blvd
#101
Pismo Beach, CA 93449 - Phone
- (805) 489-0888
- Fax
- (805) 489-0288
- NPI assigned
- Oct 17, 2006
- Last updated
- Aug 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Stephen Kyle
- Title
- President
- Phone
- (805) 489-0888
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHY50613 | CA | |
| Pharmacy | 333600000X | PHY47165 | CA | |
| Pharmacist | 183500000X | PHY47165 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY47165 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY50613 | CA | |
| Long Term Care Pharmacy | 3336L0003X | PHY47165 | CA | |
| Long Term Care Pharmacy | 3336L0003X | PHY50613 | CA | Primary |
Addresses
Primary practice location
911 Oak Park Blvd
#101
Pismo Beach, CA 93449
Mailing address
911 Oak Park Blvd
#101
Pismo Beach, CA 93449
Phone (805) 489-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679654719 | Medicaid | CA |
Other names 1
- BK PHARMACY
National Provider Directory
National Provider DirectoryLocations
911 Oak Park Blvd
Ste 101
Pismo Beach, CA 93449
Phone (805) 481-5111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1679654719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 OAK PARK BLVD",
"address_2": "#101",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "93449",
"telephone_number": "805-489-0888",
"fax_number": "805-489-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 OAK PARK BLVD",
"address_2": "#101",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "93449",
"telephone_number": "805-489-0888",
"fax_number": "805-489-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH QUEST PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "KYLE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-489-0888",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "PHY50613",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY47165",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY47165",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY47165",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY50613",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY47165",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY50613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679654719",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.