Del Rio Sanitarium Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY8062 Issued in CA

Legal business name

DEL RIO SANITARIUM PHARMACY, INC

Doing business as

Del Rio Sanitarium Pharmacy, Del Rio Pharmacy

Practice address

7004 E Gage Ave
Bell Gardens, CA 90201-2014

Phone

(562) 927-6586

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Morna Rouse

Title

Sec/Dir del Rio San. Pharmacy Inc

Phone

(562) 927-6586

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Del Rio Sanitarium Pharmacy, Del Rio Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831187806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 E GAGE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902012014",
            "telephone_number": "562-927-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 E GAGE AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902012014",
            "telephone_number": "562-927-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL RIO SANITARIUM PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "MORNA",
        "authorized_official_title_or_position": "SEC/DIR DEL RIO SAN. PHARMACY INC",
        "authorized_official_telephone_number": "562-927-6586"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY8062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH0B80620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Rio Sanitarium Pharmacy, Del Rio Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.