Baxco Pharmaceutical, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BAXCO PHARMACEUTICAL, INC.

Practice address

205 Lemon Creek Dr
Walnut, CA 91789-2643

Phone

(909) 595-0826

Fax

(909) 595-6600

NPI assigned

Sep 21, 2009

Last updated

Sep 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Vincent Wong

Title

Ceo

Phone

(626) 688-9138

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1821322082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LEMON CREEK DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892643",
            "telephone_number": "909-595-0826",
            "fax_number": "909-595-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LEMON CREEK DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892643",
            "telephone_number": "909-595-0826",
            "fax_number": "909-595-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXCO PHARMACEUTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-688-9138"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.