Tustin Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY30023 Issued in CA

Legal business name

TUSTIN COMMUNITY PHARMACY INC

Doing business as

Tustin Community Pharmacy

Practice address

13400 Newport Ave
Tustin, CA 92780-3753

Phone

(714) 731-1344

Fax

(714) 731-7363

NPI assigned

Feb 14, 2007

Last updated

Jul 14, 2009By 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

Dr. Jerry Oswald, PHARM.D.NPI 1003574963

Title

Pharmacist in Charge

Phone

(714) 731-1344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TUSTIN COMMUNITY PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Don Oswald, PHARMD

  • Pharmacist
  • Tustin, CA
  • NPI 1003574963
  NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1730222670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803753",
            "telephone_number": "714-731-1344",
            "fax_number": "714-731-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803753",
            "telephone_number": "714-731-1344",
            "fax_number": "714-731-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSTIN COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-731-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA300230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUSTIN COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis Wayne Tucker, D. C.
• Arthur Turk, MD
• Marisa Turner, M.D.
• Tustin Adhc LLC
• Tustin Audiology, Inc.
• Tustin Elite Chiropractic
• Tustin Family Chiropractic (Charina L. Holmes, D.C., Inc.)
• Tustin Group Inc. (Socal Smiles Dentistry)
• Tustin Hospital and Medical Center (Newport Specialty Hospital)
• Tustin Hospital and Medical Center

• Community/Retail Pharmacy in Tustin, CA
• Providers in Tustin, 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 Jul 14, 2009; 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.