Chino Hills Med-Plaza Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52534 Issued in CA

Legal business name

CHINO HILLS MED-PLAZA PHARMACY INC

Practice address

3110 Chino Ave Ste 100
Chino Hills, CA 91709-1294

Phone

(909) 465-6562

Fax

(909) 465-9260

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Raana Sidky

Title

President/Pic

Phone

(909) 465-6562

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Med-Plaza Pharmacy Doing business as

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1740679901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE",
            "address_2": "SUITE 100",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091211",
            "telephone_number": "909-465-6562",
            "fax_number": "909-465-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE STE 100",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091294",
            "telephone_number": "909-465-6562",
            "fax_number": "909-465-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO HILLS MED-PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "SIDKY",
        "authorized_official_first_name": "RAANA",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "909-465-6562"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "52534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Chino Hills, CA
• Providers in Chino Hills, 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 27, 2015; 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.