Assured Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 48925 Issued in CA

Legal business name

ASSURED PHARMACY

Practice address

2040 Pacific Coast Hwy
Ste R
Lomita, CA 90717-2660

Phone

(949) 222-9971

Fax

(949) 271-5580

NPI assigned

Nov 10, 2008

Organization subpart

No

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

Authorized official

Name

Tyler Robles

Title

Contracting Administrator

Phone

(949) 222-9971

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Assured Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1821242421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17935 SKY PARK CIR",
            "address_2": "STE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 PACIFIC COAST HWY",
            "address_2": "STE R",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172660",
            "telephone_number": "949-222-9971",
            "fax_number": "949-271-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CONTRACTING ADMINISTRATOR",
        "authorized_official_telephone_number": "949-222-9971"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 48925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5632698",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lomita, CA
• Providers in Lomita, 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 Nov 10, 2008; 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.