Organization Active NPI

Pharmhealth Services Inc

  • Community/Retail Pharmacy
  • Pomona, CA
National Provider Identifier
1831463678
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51875 Issued in CA
Legal business name
PHARMHEALTH SERVICES INC
Practice address
250 W Bonita Ave
Ste 110
Pomona, CA 91767-1863
Phone
(909) 593-3400
Fax
(909) 596-0759
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Authorized official

Name
Jonathan Aguilo
Title
Owner
Phone
(909) 593-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY51875 CA Primary

Addresses

Primary practice location

250 W Bonita Ave
Ste 110
Pomona, CA 91767-1863

Mailing address

250 W Bonita Ave
Ste 110
Pomona, CA 91767-1863
Phone (909) 593-3400

Other identifiers 1

IdentifierTypeStateIssuer
2147844OtherPK

Other names 1

  • Bonita Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

250 W Bonita Ave
Ste 110
Pomona, CA 91767
Phone (909) 593-3400

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": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1831463678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE",
            "address_2": "STE 110",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671863",
            "telephone_number": "909-593-3400",
            "fax_number": "909-596-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE",
            "address_2": "STE 110",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671863",
            "telephone_number": "909-593-3400",
            "fax_number": "909-596-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMHEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "AGUILO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-593-3400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.