Date Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53783 Issued in CA

Legal business name

DATE PHARMACY INC

Doing business as

Date Pharmacy Inc

Practice address

39765 Date St Ste 101
Murrieta, CA 92563-2005

Phone

(951) 696-5400

Fax

(951) 696-5411

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

An Nguyen

Title

Owner, Pres, Ao

Phone

(559) 765-1325

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Date Pharmacy Inc Doing business as

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1942674304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-696-5400",
            "fax_number": "951-696-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-696-5400",
            "fax_number": "951-696-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AN",
        "authorized_official_title_or_position": "OWNER, PRES, AO",
        "authorized_official_telephone_number": "559-765-1325"
    },
    "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": "PHY53783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155256",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Date Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denielle Antoniette Daniel
• Jonathan Richard Daniel, MFTI
• Dani Dale Daniels
• Angelique Janelle Danza
• Darcie Dunlop, Marriage and Family Therapy, Inc. (Temecula Valley Counseling and Mindfulness Center)
• Phillip Davalos, R.T.
• David a. Dortch,O.D. a California Professional Optemetric Corporation
• David Creamer M D Inc
• Armen Davidian
• Gregory Scott Davidson, PA

• Community/Retail Pharmacy in Murrieta, CA
• Providers in Murrieta, 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 Feb 20, 2017; 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.