Organization Active NPI

The Pill Box Pharmacy

  • Community/Retail Pharmacy
  • Madera, CA
National Provider Identifier
1689672669
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
39687 Issued in CA
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

Updated by the provider on Feb 20, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2000687OtherPK
PHA396870MedicaidCA

Other names 1

  • THE PILL BOX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.