CBC Professional Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CBC PROFESSIONAL PHARMACY INC

Doing business as

CBC Med Center Pharmacy

Practice address

1800 Medical Center Dr
San Bernardino, CA 92411-1218

Phone

(909) 880-2090

Fax

(909) 880-4240

NPI assigned

Aug 12, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marla L Freed

Title

President

Phone

(909) 982-4843

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CBC Med Center Pharmacy Doing business as

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700888310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W ARROW RTE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864210",
            "telephone_number": "909-982-4843",
            "fax_number": "909-982-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111218",
            "telephone_number": "909-880-2090",
            "fax_number": "909-880-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBC PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-982-4843"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0575879",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBC Med Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Cavallas
• Dennis Caezar Cavaltera
• Jazmin De Los Angeles Cazares
• Ruby Cazares
• Linneth Cazarez
• CBC Professional Pharmacy Inc (CBC Community Pharmacy)
• Sekeina Ceasar
• Diana Guadalupe Ceballos Trujillo
• Yesenia Ceballos
• Gabriel Jesus Cedillo

• Pharmacy in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Pharmacy in California

• 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.