Romeo V Villanueva

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY44529 Issued in CA

Legal business name

ROMEO V VILLANUEVA

Practice address

4456 Vandever Ave
Ste 5
San Diego, CA 92120-3320

Phone

(619) 280-1254

Fax

(619) 280-1255

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Romeo Villanueva

Title

Owner

Phone

(619) 280-1254

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MAJESTIC PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1770529778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4456 VANDEVER AVE",
            "address_2": "STE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203320",
            "telephone_number": "619-280-1254",
            "fax_number": "619-280-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4456 VANDEVER AVE",
            "address_2": "STE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203320",
            "telephone_number": "619-280-1254",
            "fax_number": "619-280-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO V VILLANUEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-280-1254"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY44529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992856",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA445290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAJESTIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Romano
• Dusti Dawn Romans, LCSW
• Madonna Romaya, MD
• Paul Romayor
• Michelle Romback
• Jenna Marie Romeo
• Andrew Romeril, O.D.
• Lorena Romero Solano
• Rachel Romero Soliven
• Denice Y Romero-Marquez, MSPT

• All providers in San Diego, CA
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.