Proto Script Pharmacueticals Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROTO SCRIPT PHARMACUETICALS CORP

Doing business as

PSP HOMECARE

Practice address

9830 6TH St
Suite 103
Rancho Cucamonga, CA 91730-7968

Phone

(855) 476-7679

Fax

(888) 819-8749

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lee Moffit

Title

National GM/Cio/Complaince

Phone

(855) 476-7679

Specialties & licenses 1

Addresses

Other names 1

• PSP HOMECARE Doing business as

Locations

Practitioners 1

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

• Michelle Rico

  • Contractor
  • Rancho Cucamonga, CA
  • NPI 1336113695
  NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1770936163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 6TH ST",
            "address_2": "SUITE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307968",
            "telephone_number": "855-476-7679",
            "fax_number": "888-819-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 6TH ST",
            "address_2": "SUITE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307968",
            "telephone_number": "855-476-7679",
            "fax_number": "888-819-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTO SCRIPT PHARMACUETICALS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "MOFFIT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "NATIONAL GM/CIO/COMPLAINCE",
        "authorized_official_telephone_number": "855-476-7679",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSP HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.