Foothill Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45239 Issued in CA

Legal business name

FOOTHILL PHARMACY

Doing business as

ROBERT OLIVA

Practice address

1850 N Riverside Ave
Suite 170
Rialto, CA 92376-8071

Phone

(909) 874-2385

Fax

(909) 874-2428

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Robert Oliva

Title

Owner and Pharmacist

Phone

(909) 874-2385

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ROBERT OLIVA Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1982615514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "SUITE 170",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-874-2385",
            "fax_number": "909-874-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE",
            "address_2": "SUITE 170",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768071",
            "telephone_number": "909-874-2385",
            "fax_number": "909-874-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "909-874-2385"
    },
    "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": "PHY45239",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA392680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0538845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT OLIVA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge Alfredo Flores, DDS
• Maria Elena Flores
• Deshon Maurice Floyd
• Darrick Le Artis Flye, CADC I
• Jocelyn Fonseca
• Roberta Jo Fox
• Cindy Carolina Franco
• Leticia Franco
• Noelia Lucia Frank
• Franklin Gomez Inc.

• Community/Retail Pharmacy in Rialto, CA
• Providers in Rialto, 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 Feb 22, 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.

Verify at the official NPI Registry.