Organization Active NPI

All States Pharmacy LLC

  • Durable Medical Equipment & Medical Supplies
  • Newbury Park, CA
National Provider Identifier
1942947106
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALL STATES PHARMACY LLC
Practice address
3607 Old Conejo Rd
Newbury Park, CA 91320-2123
Phone
(800) 787-7824
Fax
(800) 626-5004
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Destry Setser, CPHT, DRIC
Title
Manager
Phone
(818) 703-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3607 Old Conejo Rd
Newbury Park, CA 91320-2123

Mailing address

501 S Reino Rd Ste 372
Newbury Park, CA 91320-4269

National Provider Directory

National Provider Directory

Locations

501 S Reino Rd
Ste 372
Newbury Park, CA 91320

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1942947106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S REINO RD STE 372",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913204269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 OLD CONEJO RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202123",
            "telephone_number": "800-787-7824",
            "fax_number": "800-626-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STATES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "SETSER",
        "authorized_official_first_name": "DESTRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-703-3533",
        "authorized_official_credential": "CPHT, DRIC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.