Specialty Infusion Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY44017 Issued in CA

Legal business name

SPECIALTY INFUSION PHARMACY INC.

Practice address

9568 Archibald Ave
Suite a
Rancho Cucamonga, CA 91730-5710

Phone

(800) 331-2060

NPI assigned

Aug 4, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Lowenberg

Title

President

Phone

(888) 773-7376

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891796447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TECHNOLOGY PARK",
            "address_2": "LEGAL DEPT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467115",
            "telephone_number": "407-804-6700",
            "fax_number": "407-804-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9568 ARCHIBALD AVE",
            "address_2": "SUITE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305710",
            "telephone_number": "800-331-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY INFUSION PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWENBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-773-7376"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY44017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern California Speech Language Center
• Kahali Souvinette
• Maria Souza Leite
• Lindsey Spannagel
• Sparks Medical Corp
• Neyah J Lynn Shannon Speights
• Leasia Spicer
• Spine Axis Medical, Inc.
• Spine Link Medical, Inc.
• Brian Spivack, M.D.

• Pharmacy in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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.