CDM PHARMACY (NPI# 1255482709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255482709 |
| Entity Type | Organization |
| Organization Name | CDM PHARMACY |
| Other Organization Name | BALBOA PHARMACY |
| Practice Address |
716 E Balboa Blvd Newport Beach CA 92661-1306 |
| Practice Telephone | 9496735370 |
| Practice Fax Number | 9496733600 |
| Mailing Telephone | 9496735370 |
| Mailing Fax Number | 9496733600 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | MR. JEFFREY BRIAN FORD (CEO) |
| Authorized Official Telephone | 9496735370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Balboa Healthmart Pharmacy | Other Name - Individual/Organization |
| Balboa Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CDM PHARMACY ADVISORS, LLC | 3 Hummingbird Lane, Walpole, MA 02081 |
| Street Address |
716 E BALBOA BLVD |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92661-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667132 | Thomas Alan Boragno | Pharmacist | 716 E Balboa Blvd, Newport Beach, CA 92661-1306 | 2020-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487030177 | Kaylin Zabienski | Marriage & Family Therapist | 933 W Balboa Blvd Apt B, Newport Beach, CA 92661-1001 | 2015-08-04 |
| 1285920520 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1217 W Bay Ave, Newport Beach, CA 92661-1018 | 2011-06-24 |
| 1841721453 | Carl Matthew Adler | Behavior Technician | 1115 W Balboa Blvd Apt 5, Newport Beach, CA 92661-1037 | 2017-03-24 |
| 1811283278 | Ocean Recovery, LLC | Substance Abuse Rehabilitation Facility | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2011-06-23 |
| 1477053767 | Jason Patrick Pate I | Technician | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2018-02-14 |
| 1396259875 | Joshua Lecker | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-11-20 |
| 1912429465 | Jeremy Paul Bowden | Behavior Technician | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-07-15 |
| 1104358589 | Holly Kuhn | Counselor | 1115 W Balboa Blvd, Newport Beach, CA 92661-1037 | 2017-04-03 |
| 1124205067 | Kelli A. Fox | Hospice Care, Community Based | 1230 W Balboa Blvd, #e, Newport Beach, CA 92661-1061 | 2008-01-22 |
| 1194921270 | Balboa Horizons Recovery Services Lp | Substance Abuse Rehabilitation Facility | 1132 W Balboa Blvd, Newport Beach, CA 92661-1091 | 2007-06-25 |
| Find all providers in zip 92661 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871002485 | Pacific Pharmacy Group Dba Pacific Ltc Pharmacy | Pharmacy | 351 Hospital Rd Ste 207, Newport Beach, CA 92663-3504 | 2017-09-26 |
| 1598008922 | Maevelle LLC | Pharmacy | 2095 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2013-04-04 |
| 1174880397 | Sina Corporation | Pharmacy | 4229 Birch St Ste 100, Newport Beach, CA 92660-1959 | 2012-04-12 |
| 1164662664 | Pacific Pharmacy Group | Pharmacy | 351 Hospital Rd Ste 211, Newport Beach, CA 92663-3504 | 2009-02-24 |
| 1376743435 | F & N Pharma,inc | Pharmacy | 307 Placentia Ave Ste 102, Newport Beach, CA 92663-3307 | 2007-07-18 |
| 1114963279 | Garfield Beach Cvs LLC | Pharmacy | 1020 Irvine Ave, Newport Beach, CA 92660-4602 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92661 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.