Organization Active NPI

Blessie Regala

  • Community/Retail Pharmacy
  • Mission Viejo, CA
National Provider Identifier
1851906846
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Blessie RegalaNPI 1104438167
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1104438167MedicaidCA

Other names 1

  • CAREPRIME PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210322001203 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7810300563 Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.