Organization Active NPI

California State University San Bernardino Ap

  • Pharmacy
  • San Bernardino, CA
National Provider Identifier
1750524831
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
19584 Issued in CA
Legal business name
CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP
Doing business as
California State University San Bernardino Ap
Practice address
5500 University Pkwy
Student Health Center Pharmacy
San Bernardino, CA 92407-2318
Phone
(909) 537-3273
Fax
(909) 537-7768
NPI assigned
Apr 20, 2009
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CALIFORNIA STATE UNIVERSITY SAN BERNARDINOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Abigail Perez Arguijo, PHARMDNPI 1003280579
Title
Pharmacist-in-Charge
Phone
(909) 537-3273

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 19584 CA Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

5500 University Pkwy
Student Health Center Pharmacy
San Bernardino, CA 92407-2318

Mailing address

5500 University Pkwy
San Bernardino, CA 92407-2318
Phone (909) 537-3273

Other identifiers 1

IdentifierTypeStateIssuer
2168661OtherPK

Other names 1

  • CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California State University San Bernardino Ap2 organizations share this tax ID, including this one
Part of
California State University San Bernardino Ap

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

37500 Cook St
Palm Desert, CA 92211
Phone (760) 799-2219

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1750524831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072318",
            "telephone_number": "909-537-3273",
            "fax_number": "909-537-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PKWY",
            "address_2": "STUDENT HEALTH CENTER PHARMACY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072318",
            "telephone_number": "909-537-3273",
            "fax_number": "909-537-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA STATE UNIVERSITY SAN BERNARDINO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "ARGUIJO",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "909-537-3273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "19584",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA STATE UNIVERSITY SAN BERNARDINO AP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.