Active NPI
B.B.W. Drug Corporation
- Community/Retail Pharmacy
- Mission Viejo, CA
National Provider Identifier
1831290840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY17089
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0521523 | Other | NCPDP | |
| PHA170890 | Medicaid | CA |
Other names 1
- Cal-Med Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.