NPIMap

Organization Active NPI

C&a Pharmaceutical Enterprises-Ca LLC

Doing business as South Coast Mission Pharmacy

  • Pharmacy
  • Laguna Beach, CA
National Provider Identifier
1922154491
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY53370 Issued in CA
Legal business name
C&A PHARMACEUTICAL ENTERPRISES-CA LLC
Doing business as
South Coast Mission Pharmacy
Practice address
31852 Pacific Coast Hwy
Ste 103
Laguna Beach, CA 92651
Phone
(949) 499-0885
Fax
(949) 499-3645
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Ashley Downing
Title
Owner
Phone
(469) 310-1641

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PHY53370 CA Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

31852 Pacific Coast Hwy
Ste 103
Laguna Beach, CA 92651

Mailing address

31852 Pacific Coast Hwy
Ste 103
Laguna Beach, CA 92651
Phone (949) 499-0885

Other identifiers 1

IdentifierTypeStateIssuer
2155652OtherPK

Other names 1

  • South Coast Mission Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

31852 Coast Hwy
Ste 103
Laguna Beach, CA 92651
Phone (949) 499-0885

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1922154491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31852 PACIFIC COAST HWY",
            "address_2": "STE 103",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-499-0885",
            "fax_number": "949-499-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 PACIFIC COAST HWY",
            "address_2": "STE 103",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-499-0885",
            "fax_number": "949-499-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&A PHARMACEUTICAL ENTERPRISES-CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-310-1641"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY53370",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Mission Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Coast Mission Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.