Active NPI
The Pill Box Pharmacy
- Community/Retail Pharmacy
- Madera, CA
National Provider Identifier
1689672669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 39687
- Legal business name
- THE PILL BOX PHARMACY
- Practice address
- 1108 N Lake St
Madera, CA 93638-2112 - Phone
- (559) 674-1625
- Fax
- (559) 674-3109
- NPI assigned
- Jul 13, 2005
- 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
- Debra Chu
- Title
- Owner Manager
- Phone
- (559) 674-1625
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 39687 | CA | Primary |
Addresses
Primary practice location
1108 N Lake St
Madera, CA 93638-2112
Mailing address
1108 N Lake St
Madera, CA 93638-2112
Phone (559) 674-1625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000687 | Other | PK | |
| PHA396870 | Medicaid | CA |
Other names 1
- THE PILL BOX PHARMACY
National Provider Directory
National Provider DirectoryLocations
1108 N Lake St
Madera, CA 93638
Phone (559) 674-1625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1689672669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 N LAKE ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936382112",
"telephone_number": "559-674-1625",
"fax_number": "559-674-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 N LAKE ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936382112",
"telephone_number": "559-674-1625",
"fax_number": "559-674-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PILL BOX PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2017-02-20",
"status": "A",
"authorized_official_last_name": "CHU",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "OWNER MANAGER",
"authorized_official_telephone_number": "559-674-1625"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "39687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2000687",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA396870",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE PILL BOX PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.