Pharmatox, Inc

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

480016AP Issued in CA

Legal business name

PHARMATOX, INC

Practice address

1143 Missouri St
Fairfield, CA 94533-6007

Phone

(707) 435-8042

Fax

(707) 435-1527

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Isabella Rogers

Title

Ceo

Phone

(707) 435-8042

Specialties & licenses 1

Addresses

Tax ID family

Pharmatox Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pharmatox, Inc.

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1174695241
  NPD tax ID

Locations

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1861634230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 MISSOURI ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336007",
            "telephone_number": "707-435-8042",
            "fax_number": "707-435-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 MISSOURI ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336007",
            "telephone_number": "707-435-8042",
            "fax_number": "707-435-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMATOX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-435-8042",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "480016AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ruth Pettibone, RN
• Michael John Pfisterer, M.D.
• Michael Pham, DDS
• Thuytien Pham, DO
• Sang Ngoc Phan
• Pharmatox, Inc.
• Flashanya Phenix
• Tarik Phillip, MD
• Destiny Lareine Phillips, MD
• Jonathan Phillips, RAD-T

• Case Manager/Care Coordinator in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.