Fiesta Pharmacy,Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY41512 Issued in CA

Legal business name

FIESTA PHARMACY,INC

Practice address

2709 Westminster Ave
Suite A2
Santa Ana, CA 92706-2140

Phone

(714) 554-0997

Fax

(714) 554-0998

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Guy D. Nguyen, RPH

Title

Pic, Ceo

Phone

(714) 554-0997

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861473878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 WESTMINSTER AVE",
            "address_2": "SUITE A2",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062140",
            "telephone_number": "714-554-0997",
            "fax_number": "714-554-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 WESTMINSTER AVE",
            "address_2": "SUITE A2",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062140",
            "telephone_number": "714-554-0997",
            "fax_number": "714-554-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PIC, CEO",
        "authorized_official_telephone_number": "714-554-0997",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY41512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA415120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Fiallo, L.AC.
• Noelle Colleen Fiedler, LMFT
• George Edward Fields, DO
• Diana L Fierro, COTA
• Michelle Diana Fierro
• Ian Figarsky, M.D.
• Alejandro Miguel Figueroa
• Christine Chacon Figueroa, M.A.
• Neal Lopez Figueroa, RN
• Victor Alfredo Figueroa

• Pharmacy in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.