Organization Active NPI

Cjmbs Pharmacies Inc

Doing business as Community Pharmacy of Valley Center

  • Community/Retail Pharmacy
  • Valley Center, CA
National Provider Identifier
1700214046
Registry record updated Feb 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CJMBS PHARMACIES INC
Doing business as
Community Pharmacy of Valley Center
Practice address
29105 Valley Center Rd Ste 100
Valley Center, CA 92082-6588
Phone
(760) 749-1156
Fax
(760) 749-1921
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2023

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

Authorized official

Name
Peter K Nguyen, PHARMDNPI 1417239203
Title
Owner
Phone
(760) 749-1156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

29105 Valley Center Rd Ste 100
Valley Center, CA 92082-6588

Mailing address

29105 Valley Center Rd Ste 100
Valley Center, CA 92082-6588
Phone (760) 749-1156

Other identifiers 1

IdentifierTypeStateIssuer
1700214046MedicaidCA

Other names 1

  • Community Pharmacy of Valley Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160906001915 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4880985225 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Escondido, CA; Valley Center, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

29105 Valley Center Rd
Ste 100
Valley Center, CA 92082
Phone (760) 749-1156

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676764800000",
    "number": "1700214046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29105 VALLEY CENTER RD STE 100",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826588",
            "telephone_number": "760-749-1156",
            "fax_number": "760-749-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29105 VALLEY CENTER RD STE 100",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826588",
            "telephone_number": "760-749-1156",
            "fax_number": "760-749-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJMBS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-749-1156",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700214046",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy of Valley Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Pharmacy of Valley Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.