NPIMap

Organization Active NPI

Pharmacy Service Inc.

  • Pharmacist
  • San Bernardino, CA
National Provider Identifier
1780038570
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45444 Issued in CA
Legal business name
PHARMACY SERVICE INC.
Practice address
355 E 21St St
San Bernardino, CA 92404-4824
Phone
(909) 882-3719
Fax
(909) 881-2390
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Robert Edward Beeman, PHARMD
Title
President/Owner
Phone
(909) 882-3719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 45444 CA Primary

Addresses

Primary practice location

355 E 21St St
San Bernardino, CA 92404-4824

Mailing address

355 E 21St St
San Bernardino, CA 92404-4824
Phone (909) 882-3719

Other identifiers 1

IdentifierTypeStateIssuer
45444OtherCAREGISTERED PHARMACIST LICENSE

Other names 1

  • BEEMANS PRESCRIPTION PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beemans Highland Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1780038570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044824",
            "telephone_number": "909-882-3719",
            "fax_number": "909-881-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044824",
            "telephone_number": "909-882-3719",
            "fax_number": "909-881-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "BEEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-882-3719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST LICENSE",
            "identifier": "45444",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEEMANS PRESCRIPTION PHARMACY",
            "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 Apr 18, 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.