Emj Pharmacy Corporation

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

EMJ PHARMACY CORPORATION

Doing business as

Sea View Pharmacy

Practice address

665 Camino de Los Mares Ste 101
San Clemente, CA 92673-2840

Phone

(949) 496-0123

NPI assigned

Apr 14, 2020

Last updated

Apr 14, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

EMJ PHARMACY CORPORATIONAs reported in NPPES

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

Authorized official

Name

Eugene MedleyNPI 1083989420

Title

President

Phone

(949) 496-0123

Specialties & licenses 1

Addresses

Other names 1

• Sea View Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Emj Pharmacy Corporation

  • Community/Retail Pharmacy
  • San Clemente, CA
  • NPI 1144315896

  O20210315001863

  Same enrollment

Part of

Emj Pharmacy Corporation

Locations

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.

• Emj Pharmacy Corporation

  • Community/Retail Pharmacy
  • San Clemente, CA
  • NPI 1144315896
  NPPES parent name

Practitioners 1

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.

• Eugene Medley, PHARM.D., M.S.

  • Pharmacist
  • San Clemente, CA
  • NPI 1083989420
  NPD Authorized official

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1932728433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732840",
            "telephone_number": "949-496-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CAMINO DE LOS MARES STE 101",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732840",
            "telephone_number": "949-496-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMJ PHARMACY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMJ PHARMACY CORPORATION",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "MEDLEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-496-0123"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea View Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elmzadeh Marriage & Family Therapy, Inc. (Elmzadeh Counseling)
• Barbara Wallace Elsner, L.AC.
• Joseph G Emanuel
• Emergency Physicians Medical Group, Inc
• Emj Pharmacy Corporation
• Heather Rae Ender, MOT, OTR/L
• Enviromed, Inc.
• Malia Ertel, OTR/L, MS
• Samantha Joy Escobar, OTR
• Ghazal Eslamy, DC

• Long Term Care Pharmacy in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.

Verify at the official NPI Registry.