Bristol Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50805 Issued in CA

Legal business name

BRISTOL DRUG CO INC

Doing business as

Orange Grove Pharmacy

Practice address

1770 N Orange Grove Ave Ste 100
Pomona, CA 91767-3027

Phone

(909) 623-6429

Fax

(909) 623-3539

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

David Lim

Title

Owner

Phone

(909) 623-6429

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Orange Grove Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bristol Drug Co Inc

  • Community/Retail Pharmacy
  • Pomona, CA
  • NPI 1841292406

  0840311643

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bristol Drug Co Inc

  • Community/Retail Pharmacy
  • Pomona, CA
  • NPI 1841292406

  O20180220002204

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Bristol Drug Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Bristol Drug Co Inc

  • Community/Retail Pharmacy
  • Pomona, CA
  • NPI 1841292406
  NPD tax ID
• Bristol Drug Co., Inc

  • Long Term Care Pharmacy
  • Pomona, CA
  • NPI 1295514412
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon Lee

  • Pharmacist
  • Pomona, CA
  • NPI 1467720482
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1922000546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 100",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-623-6429",
            "fax_number": "909-623-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 100",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-623-6429",
            "fax_number": "909-623-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-623-6429"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133858",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922000546",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Grove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bright Futures Educational Services
• Karsten James Briley, PA
• Andrea Maria Briseno, PHD
• Andy Briseno
• Bristol Drug Co Inc
• Bristol Drug Co., Inc
• Gary Brito, DPT
• Gisselle Brito
• Katrina Latrice Britton, NURSE PRACTITIONER
• Amber Broadfoot

• Community/Retail Pharmacy in Pomona, CA
• Providers in Pomona, 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 Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.