Fulfilling Healthcare Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47210 Issued in CA

Legal business name

FULFILLING HEALTHCARE SERVICES LLC

Doing business as

PARKVIEW PHARMACY AND HOME HEALTHCARE

Practice address

8283 Grove Ave
Ste 105
Rancho Cucamonga, CA 91730-3137

Phone

(909) 981-0956

Fax

(909) 981-8409

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Louis Petrie, PHARM D

Title

Owner Manager

Phone

(909) 981-0956

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• PARKVIEW PHARMACY AND HOME HEALTHCARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arezou Petrie, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Rancho Cucamonga, CA
  • NPI 1265830863
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1972525566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572227",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913572227",
            "telephone_number": "909-981-0956",
            "fax_number": "909-981-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE",
            "address_2": "STE 105",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303137",
            "telephone_number": "909-981-0956",
            "fax_number": "909-981-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLING HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "909-981-0956",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47210",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990970",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA47210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKVIEW PHARMACY AND HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Fruge
• Alexandra Fuentes
• Kimberly Fuentes, ACSW
• Lady E. Fuentes
• Leslie Fuentes
• J Denise Fuller, MSW
• Arianna Elisabeth Fulwiler-Rodriguez
• G. P. R. Psychological Services Inc.
• G.a.P Home Health Care LLC
• Michael Gadea-Thumel, RBT

• Community/Retail Pharmacy in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Sep 13, 2016; 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.