Organization Active NPI

A & R Pharmacy Inc

Doing business as Moulton Plaza Pharmacy

  • Community/Retail Pharmacy
  • Laguna Hills, CA
National Provider Identifier
1851304570
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47488 Issued in CA
Legal business name
A & R PHARMACY INC
Doing business as
Moulton Plaza Pharmacy
Practice address
23665 Moulton Pkwy
Ste a
Laguna Hills, CA 92653-1937
Phone
(949) 768-3784
Fax
(949) 768-1359
NPI assigned
Aug 14, 2006
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Amit Hasolkar
Title
Pharmacist in Charge
Phone
(949) 768-3784

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY47488 CA Primary

Addresses

Primary practice location

23665 Moulton Pkwy
Ste a
Laguna Hills, CA 92653-1937

Mailing address

23665 Moulton Pkwy
Ste a
Laguna Hills, CA 92653-1937
Phone (949) 768-3784

Other identifiers 1

IdentifierTypeStateIssuer
1998352OtherPK

Other names 1

  • MOULTON PLAZA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

23665 Moulton Pkwy
Ste A
Laguna Hills, CA 92653
Phone (949) 586-3664

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1851304570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23665 MOULTON PKWY",
            "address_2": "STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531937",
            "telephone_number": "949-768-3784",
            "fax_number": "949-768-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23665 MOULTON PKWY",
            "address_2": "STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531937",
            "telephone_number": "949-768-3784",
            "fax_number": "949-768-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & R PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HASOLKAR",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "949-768-3784"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOULTON PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.