Active NPI
Quality Drug Long Term Care
- Long Term Care Pharmacy
- Newport Beach, CA
National Provider Identifier
1972682649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHY47100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5615565 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 5615565 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Whittier, CA
- NPI 1578537700
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.