Organization Active NPI

Quality Drug Long Term Care

  • Long Term Care Pharmacy
  • Newport Beach, CA
National Provider Identifier
1972682649
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY47100 Issued in CA
Legal business name
QUALITY DRUG LONG TERM CARE
Practice address
3471 Via Lido
Ste 211
Newport Beach, CA 92663-3912
Phone
(949) 673-1996
Fax
(949) 673-1937
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
George Koixver, PHRMD
Title
VP PHRM
Phone
(949) 673-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PHY47100 CA Primary

Addresses

Primary practice location

3471 Via Lido
Ste 211
Newport Beach, CA 92663-3912

Mailing address

3471 Via Lido
Ste 211
Newport Beach, CA 92663-3912

Other identifiers 2

IdentifierTypeStateIssuer
5615565OtherOTHER ID NUMBER-COMMERCIAL NUMBER
5615565OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

3471 Via Lido
Ste 211
Newport Beach, CA 92663
Phone (949) 673-1996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1972682649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 VIA LIDO",
            "address_2": "STE 211",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 VIA LIDO",
            "address_2": "STE 211",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633912",
            "telephone_number": "949-673-1996",
            "fax_number": "949-673-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DRUG LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "KOIXVER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "VP PHRM",
        "authorized_official_telephone_number": "949-673-1996",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY47100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5615565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5615565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.