Organization Active NPI

Tommie'S Medical Center Pharmacy

  • Pharmacist
  • Placentia, CA
National Provider Identifier
1689664740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY33273 Issued in CA
Legal business name
TOMMIE'S MEDICAL CENTER PHARMACY
Practice address
1041 E Yorba Linda Blvd
Suite #1
Placentia, CA 92870-3728
Phone
(714) 993-9370
Fax
(714) 572-9453
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Thomasine Regina Kalman, RPH
Title
President
Phone
(714) 993-9370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHY33273 CA Primary

Addresses

Primary practice location

1041 E Yorba Linda Blvd
Suite #1
Placentia, CA 92870-3728

Mailing address

1041 E Yorba Linda Blvd
Suite #1
Placentia, CA 92870-3728
Phone (714) 993-9370

Other identifiers 1

IdentifierTypeStateIssuer
PHA207790MedicaidCA

National Provider Directory

National Provider Directory

Locations

1041 E Yorba Linda Blvd
Ste 301
Placentia, CA 92870
Phone (714) 524-8866

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689664740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD",
            "address_2": "SUITE #1",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703728",
            "telephone_number": "714-993-9370",
            "fax_number": "714-572-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD",
            "address_2": "SUITE #1",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703728",
            "telephone_number": "714-993-9370",
            "fax_number": "714-572-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMIE'S MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALMAN",
        "authorized_official_first_name": "THOMASINE",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-993-9370",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY33273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA207790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.