Alexander Irvine

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY21220 Issued in CA

Legal business name

ALEXANDER IRVINE

Practice address

4581 10TH St
Ste a
Guadalupe, CA 93434-1454

Phone

(805) 343-2290

Fax

(805) 343-0761

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Alex Irvine

Title

Owner

Phone

(805) 343-2290

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GUADALUPE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1821153248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "GUADALUPE",
            "state": "CA",
            "postal_code": "934340697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4581 10TH ST",
            "address_2": "STE A",
            "city": "GUADALUPE",
            "state": "CA",
            "postal_code": "934341454",
            "telephone_number": "805-343-2290",
            "fax_number": "805-343-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER IRVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "IRVINE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-343-2290"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY21220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0533489",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA21220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUADALUPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rafael Alonso Jr., PA-C
• Kayla Anderson, LEP
• Rebecca Helena Barnett, PA-C
• Blooming Skills Behavioral Services
• Sami M Boraie, RPH

• Community/Retail Pharmacy in Guadalupe, CA
• Providers in Guadalupe, CA by specialty
• Community/Retail Pharmacy in California

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