NPIMap

Organization Active NPI

Resource Pharmacy, Inc

  • Pharmacy
  • San Bernardino, CA
National Provider Identifier
1770848566
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50891 Issued in CA
Legal business name
RESOURCE PHARMACY, INC
Practice address
1535 S D St
Suite 230
San Bernardino, CA 92408-3253
Phone
(909) 884-5555
Fax
(909) 884-5454
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Sam Yem
Title
Manager
Phone
(909) 884-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50891 CA Primary

Addresses

Primary practice location

1535 S D St
Suite 230
San Bernardino, CA 92408-3253

Mailing address

1535 S D St
Suite 230
San Bernardino, CA 92408-3253
Phone (909) 884-5555

National Provider Directory

National Provider Directory

Locations

1535 S D St
Ste 230
San Bernardino, CA 92408
Phone (909) 884-5555

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1770848566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 S D ST",
            "address_2": "SUITE 230",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083253",
            "telephone_number": "909-884-5555",
            "fax_number": "909-884-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 S D ST",
            "address_2": "SUITE 230",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083253",
            "telephone_number": "909-884-5555",
            "fax_number": "909-884-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "YEM",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-884-5555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "50891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 9, 2012; 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.