Organization Active NPI

Physician Pharmacuetical Management

  • Pharmacist
  • Simi Valley, CA
National Provider Identifier
1700128907
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
PHYSICIAN PHARMACUETICAL MANAGEMENT
Practice address
980 Enchanted Way Ste 211
Simi Valley, CA 93065-0914
Phone
(805) 416-1648
Fax
(805) 823-6519
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Carlos Santana
Title
Biller
Phone
(805) 416-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X Primary

Addresses

Primary practice location

980 Enchanted Way Ste 211
Simi Valley, CA 93065-0914

Mailing address

980 Enchanted Way Ste 211
Simi Valley, CA 93065-0914
Phone (805) 416-1648

National Provider Directory

National Provider Directory

Locations

980 Enchanted Way
Ste 211
Simi Valley, CA 93065
Phone (805) 416-1648

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1700128907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY STE 211",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650914",
            "telephone_number": "805-416-1648",
            "fax_number": "805-823-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ENCHANTED WAY STE 211",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650914",
            "telephone_number": "805-416-1648",
            "fax_number": "805-823-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PHARMACUETICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "805-416-1648"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.