Active NPI
John N Dabbs III
- Community/Retail Pharmacy
- Vista, CA
National Provider Identifier
1962514950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY37480
- Legal business name
- JOHN N DABBS III
- Practice address
- 2067 W Vista Way
Ste195
Vista, CA 92083-6031 - Phone
- (760) 631-1010
- Fax
- (760) 758-7612
- NPI assigned
- Aug 31, 2006
- 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
- John Dabbs
- Title
- Owner
- Phone
- (760) 631-1010
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY37480 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Managed Care Organization Pharmacy | 3336M0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2067 W Vista Way
Ste195
Vista, CA 92083-6031
Mailing address
2067 W Vista Way
Ste195
Vista, CA 92083-6031
Phone (760) 631-1010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0533693 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| PHA374800 | Medicaid | CA |
Other names 1
- GREENFIELD Pharmacy
National Provider Directory
National Provider DirectoryLocations
2067 W Vista Way
Ste 195
Vista, CA 92083
Phone (760) 631-1010
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
- Vista, CA
- NPI 1952710659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1962514950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2067 W VISTA WAY",
"address_2": "STE195",
"city": "VISTA",
"state": "CA",
"postal_code": "920836031",
"telephone_number": "760-631-1010",
"fax_number": "760-758-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2067 W VISTA WAY",
"address_2": "STE195",
"city": "VISTA",
"state": "CA",
"postal_code": "920836031",
"telephone_number": "760-631-1010",
"fax_number": "760-758-7612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN N DABBS III",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "DABBS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-631-1010"
},
"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": "PHY37480",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "0533693",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA374800",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GREENFIELD Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.