Organization Active NPI

Templeton Hills Pharmacy

  • Community/Retail Pharmacy
  • Templeton, CA
National Provider Identifier
1881765899
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY19808 Issued in CA
Legal business name
TEMPLETON HILLS PHARMACY
Doing business as
Templeton Hills Pharmacy
Practice address
1050 Las Tablas Rd
Ste 1
Templeton, CA 93465-9729
Phone
(805) 434-1801
Fax
(805) 434-1938
NPI assigned
Nov 13, 2006
Last updated
Mar 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Erin Wirtz, PHARM.D.
Title
Owner
Phone
(805) 434-1801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY19808 CA Primary

Addresses

Primary practice location

1050 Las Tablas Rd
Ste 1
Templeton, CA 93465-9729

Mailing address

1050 Las Tablas Rd
Ste 1
Templeton, CA 93465-9729
Phone (805) 434-1801

Other identifiers 2

IdentifierTypeStateIssuer
1998596OtherPK
1881765899MedicaidCA

Other names 1

  • TEMPLETON HILLS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1881765899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAS TABLAS RD",
            "address_2": "STE 1",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659729",
            "telephone_number": "805-434-1801",
            "fax_number": "805-434-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAS TABLAS RD",
            "address_2": "STE 1",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659729",
            "telephone_number": "805-434-1801",
            "fax_number": "805-434-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLETON HILLS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "WIRTZ",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-434-1801",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY19808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998596",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881765899",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEMPLETON HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.