Pain Management Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46656 Issued in CA

Legal business name

PAIN MANAGEMENT PHARMACY INC

Practice address

2003 S Miller St
Santa Maria, CA 93454-7849

Phone

(805) 928-4700

Fax

(805) 928-4710

NPI assigned

Jul 20, 2006

Organization subpart

No

Name

Kenneth Guess, PHARMD

Title

Ceo VP

Phone

(805) 928-4700

Locations

• PAIN MANAGEMENT PHARMACY INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2013.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1942220439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 S MILLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547849",
            "telephone_number": "805-928-4700",
            "fax_number": "805-928-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 S MILLER ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547849",
            "telephone_number": "805-928-4700",
            "fax_number": "805-928-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "GUESS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO VP",
        "authorized_official_telephone_number": "805-928-4700",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PHY46656",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5612848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN MANAGEMENT PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Eye Surgeons, a California Professional Medical Corporation
• Miguel Padilla Garcia
• Jennifer Nicole Padilla-Burger
• Kelli Elizabeth Padilla, ACSW
• Debbie M Page, RN, PHN
• Pain Management Specialists Medical Group
• Dixie Ann Painter, MPAS, PA-C
• Cecilia Palacios, R.D.
• Monica Reyna Palacios
• Julia Palardy-Byl, LMFT

• All providers in Santa Maria, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.