Cambridge Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY44340 Issued in CA

Legal business name

CAMBRIDGE PHARMACY INC

Practice address

14101 Main St
Ste 103
Hesperia, CA 92345-8098

Phone

(909) 867-9083

Fax

(909) 867-9086

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Gevork Adzhemyan

Title

Owner

Phone

(909) 867-9083

Specialties & licenses 1

Addresses

Other names 1

• Cambridge Pharmacy Doing business as

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1902186224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 MAIN ST",
            "address_2": "STE 103",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923458098",
            "telephone_number": "909-867-9083",
            "fax_number": "909-867-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 MAIN ST",
            "address_2": "STE 103",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923458098",
            "telephone_number": "909-867-9083",
            "fax_number": "909-867-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "ADZHEMYAN",
        "authorized_official_first_name": "GEVORK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-867-9083"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.