Active NPI
Cal2000 Pharmacy Inc
- Community/Retail Pharmacy
- Ontario, CA
National Provider Identifier
1952815409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 55883
- Legal business name
- CAL2000 PHARMACY INC
- Practice address
- 326 E Holt Blvd Ste E
Ontario, CA 91761-1635 - Phone
- (909) 254-6911
- Fax
- (909) 285-9928
- NPI assigned
- Nov 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyssa Tamura
- Title
- Pharmacist and Authorized Official
- Phone
- (909) 546-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 55883 | CA | Primary |
Addresses
Primary practice location
326 E Holt Blvd Ste E
Ontario, CA 91761-1635
Mailing address
326 E Holt Blvd
Ste E
Ontario, CA 91761-1609
Phone (909) 254-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173969 | Other | PK |
Other names 1
- VILLA PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Cal2000 Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Alhambra, CA
- NPI 1417023292
Locations
326 E Holt Blvd
Ste E
Ontario, CA 91761
Phone (909) 254-6911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Chino, CA
- NPI 1063340040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536624000000",
"number": "1952815409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 E HOLT BLVD",
"address_2": "STE E",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917611609",
"telephone_number": "909-254-6911",
"fax_number": "909-285-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 E HOLT BLVD STE E",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917611635",
"telephone_number": "909-254-6911",
"fax_number": "909-285-9928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAL2000 PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-20",
"last_updated": "2018-09-11",
"status": "A",
"authorized_official_last_name": "TAMURA",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "PHARMACIST AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "909-546-1000"
},
"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": "55883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2173969",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VILLA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.