NPIMap

Organization Active NPI

Seventh-Day Adventists Loma Linda University Medical Center

Doing business as Loma Linda University Home Delivery Pharmacy

  • Specialty Pharmacy
  • San Bernardino, CA
National Provider Identifier
1841947975
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER
Doing business as
Loma Linda University Home Delivery Pharmacy
Practice address
125 E Club Center Dr Ste 1500
San Bernardino, CA 92408-4107
Phone
(909) 651-4705
Fax
(909) 651-4703
NPI assigned
Mar 8, 2022
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Trevor Wright
Title
Ceo
Phone
(909) 558-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

125 E Club Center Dr Ste 1500
San Bernardino, CA 92408-4107

Mailing address

125 E Club Center Dr Ste 1500
San Bernardino, CA 92408-4107
Phone (909) 651-4705

Other names 1

  • Loma Linda University Home Delivery Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda University M36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1841947975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E CLUB CENTER DR STE 1500",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084107",
            "telephone_number": "909-651-4705",
            "fax_number": "909-651-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E CLUB CENTER DR STE 1500",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084107",
            "telephone_number": "909-651-4705",
            "fax_number": "909-651-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-558-4000"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loma Linda University Home Delivery Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loma Linda University Home Delivery Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.