NPIMap

Organization Active NPI

Seventh Day Adventists Loma Linda University Medical Center, Inc.

Doing business as Loma Linda University - Highland Springs Pharmacy

  • Community/Retail Pharmacy
  • Beaumont, CA
National Provider Identifier
1790030773
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50933 Issued in CA
Legal business name
SEVENTH DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC.
Doing business as
Loma Linda University - Highland Springs Pharmacy
Practice address
81 Highland Springs Ave
Suite 90
Beaumont, CA 92223-3170
Phone
(951) 849-3378
Fax
(951) 849-3332
NPI assigned
Jul 17, 2012
Last updated
Jun 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Mr. Kerry Lynn Heinrich
Title
Chief Executive Officer
Phone
(909) 558-4308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY50933 CA Primary

Addresses

Primary practice location

81 Highland Springs Ave
Suite 90
Beaumont, CA 92223-3170

Mailing address

81 Highland Springs Ave
Suite 90
Beaumont, CA 92223-3170
Phone (951) 849-3378

Other identifiers 1

IdentifierTypeStateIssuer
5644720OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Loma Linda University - Highland Springs Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda Univ Med Cen35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

81 Highland Springs Ave
Ste 90
Beaumont, CA 92223
Phone (951) 849-3378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1790030773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND SPRINGS AVE",
            "address_2": "SUITE 90",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233170",
            "telephone_number": "951-849-3378",
            "fax_number": "951-849-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND SPRINGS AVE",
            "address_2": "SUITE 90",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233170",
            "telephone_number": "951-849-3378",
            "fax_number": "951-849-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTH DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "HEINRICH",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-558-4308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5644720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loma Linda University - Highland Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loma Linda University - Highland Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.