Active NPI
Apple Pharmacy Inc
Doing business as ABC Pharmacy
- Pharmacy
- Montclair, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 55887
- Legal business name
- APPLE PHARMACY INC
- Doing business as
- ABC Pharmacy
- Practice address
- 5050 San Bernardino St Ste 110
Montclair, CA 91763-2326 - Phone
- (909) 264-1331
- Fax
- (909) 330-0933
- NPI assigned
- Jan 22, 2018
- Last updated
- Jan 22, 2018
- Organization subpart
- Yes
- Parent organization
- APPLE PHARMACY INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alyssa Tamura, PHARMD
- Title
- Pharmacist
- Phone
- (909) 546-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 55887 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X | 55887 | CA |
Addresses
Primary practice location
5050 San Bernardino St Ste 110
Montclair, CA 91763-2326
Mailing address
5050 San Bernardino St Ste 110
Montclair, CA 91763-2326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55883 | Other | CA | PHARMACY LICENSE |
Other names 1
- ABC Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180918004211 | CA | Part B Supplier - Pharmacy | 7911258777 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Laguna Hills, CA; Montclair, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Apple Pharmacy Inc
- Part of
- Apple Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Colton, CA
- NPI 1568814630
Locations
5050 San Bernardino St
Ste 110
Montclair, CA 91763
Phone (909) 264-1331
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Colton, CA
- NPI 1568814630
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Rialto, CA
- NPI 1952819773
-
- Pharmacist
- Upland, CA
- NPI 1033673041
-
- Pharmacist
- Glendora, CA
- NPI 1821710203
-
- Pharmacist
- Laguna Hills, CA
- NPI 1225829435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516579200000",
"number": "1912415118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 SAN BERNARDINO ST STE 110",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 SAN BERNARDINO ST STE 110",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632326",
"telephone_number": "909-264-1331",
"fax_number": "909-330-0933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLE PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "APPLE PHARMACY INC.",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A",
"authorized_official_last_name": "TAMURA",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "909-546-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "55887",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "55887",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "55883",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ABC Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.