NPIMap

Organization Active NPI

CVS Pharmacy 7079

  • Community/Retail Pharmacy
  • Fullerton, CA
National Provider Identifier
1780058073
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
71851 Issued in CA
Legal business name
CVS PHARMACY 7079
Practice address
2200 N Harbor Blvd
Fullerton, CA 92835-2605
Phone
(714) 269-6871
NPI assigned
Nov 24, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Dean Pak, PHARMD
Title
Pharmacist-in-Charge
Phone
(714) 269-6871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 71851 CA Primary

Addresses

Primary practice location

2200 N Harbor Blvd
Fullerton, CA 92835-2605

Mailing address

2001 Calle Alegria
Fullerton, CA 92833-1747
Phone (714) 269-6871

National Provider Directory

National Provider Directory
Tax ID family
CVS Caremark63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2200 N Harbor Blvd
Fullerton, CA 92835
Phone (714) 269-6871

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1780058073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CALLE ALEGRIA",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331747",
            "telephone_number": "714-269-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352605",
            "telephone_number": "714-269-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY 7079",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "714-269-6871",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "71851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.