Bushard Pharmacy Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHY34521 Issued in CA

Legal business name

BUSHARD PHARMACY INC

Practice address

244 Forest Ave
Laguna Beach, CA 92651

Phone

(949) 494-1059

Fax

(949) 494-8807

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Leblanc, PHARMDNPI 1417457870

Title

Pharmacist in Charge

Phone

(949) 494-1059

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Phillip Nguyen Leblanc, PHARM.D.

  • Pharmacist
  • Laguna Beach, CA
  • NPI 1417457870
  NPD (past) Authorized official
• Lidija Ruskova, RPH

  • Pharmacist
  • Laguna Beach, CA
  • NPI 1053802314
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1992898910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 FOREST AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-494-1059",
            "fax_number": "949-494-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 FOREST AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-494-1059",
            "fax_number": "949-494-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHARD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "949-494-1059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY34521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0507612",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA185380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian D. Buehler, DDS
• Stephen J Buehler, MFT
• Diana Denise Burke, P.T.
• Monte S Buschsbaum
• Bushard Pharmacy Inc
• Karliah N Butler
• C Hinchliffe Inc
• C&a Pharmaceutical Enterprises-Ca LLC
• Robert Anthony Cadena, NP
• Caduceus Physicians Medical Group

• Pharmacist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.