Organization Active NPI

Guided Alliance Pharmacy Inc

  • Community/Retail Pharmacy
  • Aliso Viejo, CA
National Provider Identifier
1831381904
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53425 Issued in CA
Legal business name
GUIDED ALLIANCE PHARMACY INC
Practice address
27111 Aliso Creek Rd
Ste 185a
Aliso Viejo, CA 92656-3365
Phone
(949) 496-4106
Fax
(866) 210-9757
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Timothy McFadden
Title
President
Phone
(949) 496-3906

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 53425 CA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

27111 Aliso Creek Rd
Ste 185a
Aliso Viejo, CA 92656-3365

Mailing address

34145 Pacific Coast Hwy
Ste 195
Dana Point, CA 92629-2808
Phone (949) 496-3906

Other identifiers 1

IdentifierTypeStateIssuer
2113087OtherPK

Other names 1

  • GUIDED ALLIANCE PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000392 CA Part B Supplier - Pharmacy 6709969058 Practice locations: Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

27111 Aliso Creek Rd
Ste 185A
Aliso Viejo, CA 92656
Phone (949) 496-4106

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1831381904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34145 PACIFIC COAST HWY",
            "address_2": "STE 195",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292808",
            "telephone_number": "949-496-3906",
            "fax_number": "866-210-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 ALISO CREEK RD",
            "address_2": "STE 185A",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563365",
            "telephone_number": "949-496-4106",
            "fax_number": "866-210-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED ALLIANCE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-496-3906"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53425",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUIDED ALLIANCE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.