Organization Active NPI

B.B.W. Drug Corporation

  • Community/Retail Pharmacy
  • Mission Viejo, CA
National Provider Identifier
1831290840
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY17089 Issued in CA
Legal business name
B.B.W. DRUG CORPORATION
Practice address
24031 Marguerite Pkwy Ste a
Mission Viejo, CA 92692-1929
Phone
(949) 586-1700
Fax
(949) 586-4683
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Dr. John Richard Bruce, PHARMD
Title
Pharmacist/Owner
Phone
(949) 586-1700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY17089 CA
Community/Retail Pharmacy 3336C0003X PHY17089 CA Primary
Compounding Pharmacy 3336C0004X PHY17089 CA
Long Term Care Pharmacy 3336L0003X PHY17089 CA

Addresses

Primary practice location

24031 Marguerite Pkwy Ste a
Mission Viejo, CA 92692-1929

Mailing address

24031 Marguerite Pkwy Ste a
Mission Viejo, CA 92692-1929
Phone (949) 586-1700

Other identifiers 2

IdentifierTypeStateIssuer
0521523OtherNCPDP
PHA170890MedicaidCA

Other names 1

  • Cal-Med Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

24031 Marguerite Pkwy
Ste A
Mission Viejo, CA 92692
Phone (949) 586-1700

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1831290840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24031 MARGUERITE PKWY STE A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921929",
            "telephone_number": "949-586-1700",
            "fax_number": "949-586-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24031 MARGUERITE PKWY STE A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921929",
            "telephone_number": "949-586-1700",
            "fax_number": "949-586-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.B.W. DRUG CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "949-586-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY17089",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY17089",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY17089",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY17089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0521523",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA170890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal-Med Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.