NPIMap

Organization Active NPI

Nimble Pharmacy, Inc

Doing business as Nimble Pharmacy

  • Community/Retail Pharmacy
  • Santa Ana, CA
National Provider Identifier
1841781739
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
56086 Issued in CA
Legal business name
NIMBLE PHARMACY, INC
Doing business as
Nimble Pharmacy
Practice address
640 S Grand Ave # 106107
Santa Ana, CA 92705-4156
Phone
(866) 966-4625
NPI assigned
May 25, 2018
Last updated
May 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NIMBLE PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
Talha Waqar
Title
Ceo
Phone
(866) 966-4625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 56086 CA Primary

Addresses

Primary practice location

640 S Grand Ave # 106107
Santa Ana, CA 92705-4156

Mailing address

1134 Crane St Ste 100
Menlo Park, CA 94025-4329

Other names 1

  • Nimble Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nimble Pharmacy Inc10 organizations share this tax ID, including this one
Part of
Nimble Pharmacy Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

640 S Grand Ave
#106107
Santa Ana, CA 92705

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1841781739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 CRANE ST STE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S GRAND AVE # 106107",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054156",
            "telephone_number": "866-966-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBLE PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIMBLE PHARMACY, INC",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "WAQAR",
        "authorized_official_first_name": "TALHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-966-4625"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "56086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nimble Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.