Active NPI
Blessie Regala
- Community/Retail Pharmacy
- Mission Viejo, CA
National Provider Identifier
1851906846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BLESSIE REGALA
- Doing business as
- CAREPRIME PHARMACY
- Practice address
- 24000 Alicia Pkwy Ste 9
Mission Viejo, CA 92691-3929 - Phone
- (949) 600-9555
- NPI assigned
- Sep 15, 2020
- 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
- Blessie Regala
- Title
- Owner
- Phone
- (949) 600-9555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
24000 Alicia Pkwy Ste 9
Mission Viejo, CA 92691-3929
Mailing address
24000 Alicia Pkwy Ste 9
Mission Viejo, CA 92691-3929
Phone (940) 600-9555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104438167 | Medicaid | CA |
Other names 1
- CAREPRIME PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210322001203 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810300563 | Practice locations: Mission Viejo, CA |
National Provider Directory
National Provider DirectoryLocations
24000 Alicia Pkwy
Ste 9
Mission Viejo, CA 92691
Phone (949) 600-0955
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": "1600128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1851906846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24000 ALICIA PKWY STE 9",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913929",
"telephone_number": "940-600-9555",
"fax_number": "949-600-9556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24000 ALICIA PKWY STE 9",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913929",
"telephone_number": "949-600-9555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLESSIE REGALA",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-15",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "REGALA",
"authorized_official_first_name": "BLESSIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-600-9555"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104438167",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAREPRIME PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CAREPRIME PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.