Active NPI
Dr Gram Pharmacy Inc
- Long Term Care Pharmacy
- Escondido, CA
National Provider Identifier
1831435668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 51095
- Legal business name
- DR GRAM PHARMACY INC
- Practice address
- 911 E Valley Pkwy
Escondido, CA 92025-3428 - Phone
- (760) 480-1871
- Fax
- (760) 480-6317
- NPI assigned
- Dec 26, 2012
- 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
- Bernard Gramlich
- Title
- Ceo
- Phone
- (760) 741-9804
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 51095 | CA | Primary |
Addresses
Primary practice location
911 E Valley Pkwy
Escondido, CA 92025-3428
Mailing address
911 E Valley Pkwy
Escondido, CA 92025-3428
Phone (760) 480-1871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5646154 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Med-Rx LTC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356480000000",
"number": "1831435668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E VALLEY PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253428",
"telephone_number": "760-480-1871",
"fax_number": "760-480-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E VALLEY PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253428",
"telephone_number": "760-480-1871",
"fax_number": "760-480-6317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR GRAM PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-26",
"last_updated": "2012-12-26",
"status": "A",
"authorized_official_last_name": "GRAMLICH",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-741-9804"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "51095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5646154",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Med-Rx LTC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.