Organization Active NPI

Prescription Station Inc

  • Community/Retail Pharmacy
  • Victorville, CA
National Provider Identifier
1992817811
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46103 Issued in CA
Legal business name
PRESCRIPTION STATION INC
Practice address
15048 7TH St Ste a
Victorville, CA 92395-3839
Phone
(760) 241-3390
Fax
(760) 241-5458
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Arvin Tulod, BS PHARMACYNPI 1477681542
Title
President
Phone
(760) 241-3390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY46103 CA Primary

Addresses

Primary practice location

15048 7TH St Ste a
Victorville, CA 92395-3839

Mailing address

PO Box 2909
Victorville, CA 92393-2909
Phone (760) 241-3390

Other identifiers 2

IdentifierTypeStateIssuer
PHA461030MedicaidCA
2116318OtherPK

Other names 1

  • PRESCRIPTION STATION PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

15048 Seventh St
Ste A
Victorville, CA 92395
Phone (760) 241-3390

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1758240000000",
    "number": "1992817811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2909",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923932909",
            "telephone_number": "760-241-3390",
            "fax_number": "760-241-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15048 7TH ST STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953839",
            "telephone_number": "760-241-3390",
            "fax_number": "760-241-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION STATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "TULOD",
        "authorized_official_first_name": "ARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-241-3390",
        "authorized_official_credential": "BS PHARMACY"
    },
    "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": "PHY46103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA461030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESCRIPTION STATION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRESCRIPTION STATION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.