Loma Linda Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44306 Issued in CA

Legal business name

LOMA LINDA PHARMACY INC

Doing business as

Loma Linda Pharmacy

Practice address

25620 Barton Rd
Loma Linda, CA 92354-3110

Phone

(909) 796-8308

Fax

(909) 786-3048

NPI assigned

Aug 10, 2006

Last updated

Feb 20, 2017By 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

Louela Scanlan

Title

Manager

Phone

(909) 796-8308

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LOMA LINDA PHARMACY Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1720099310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25620 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543110",
            "telephone_number": "909-796-8308",
            "fax_number": "909-786-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25620 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543110",
            "telephone_number": "909-796-8308",
            "fax_number": "909-786-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SCANLAN",
        "authorized_official_first_name": "LOUELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-796-8308"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2002451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOMA LINDA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Community/Retail Pharmacy in California

• 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.