Paul Anthony Tenette, RPN

Primary specialty

PharmacistTaxonomy code 183500000X

License

37618 Issued in CA

Practice address

Delta Drugs
1666 N Medical Center Drive
San Bernadino, CA 92411

Phone

(909) 887-2596

Fax

(909) 887-8496

NPI assigned

Jan 22, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delta Drugs Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Delta Drugs

  • Community/Retail Pharmacy
  • San Bernardino, CA
  • NPI 1154445179
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1770637365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELTA DRUGS",
            "address_2": "1666 N MEDICAL CENTER DRIVE",
            "city": "SAN BERNADINO",
            "state": "CA",
            "postal_code": "92411",
            "telephone_number": "909-887-2596",
            "fax_number": "909-887-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELTA DRUGS",
            "address_2": "1666 N MEDICAL CENTER DRIVE",
            "city": "SAN BERNADINO",
            "state": "CA",
            "postal_code": "92411",
            "telephone_number": "909-887-2596",
            "fax_number": "909-887-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENETTE",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "37618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 374500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELTA",
            "last_name": "DRUGS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Eugene Phillip Stecz, MD
• Lesly G Thomas, DDS
• Richard Steven Tindall, MD
• Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.
• Tracy Laveria Wilborn, CERTIFICATE
• Soon Jo Yoon

• Pharmacist in San Bernadino, CA
• Providers in San Bernadino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.