LOMA LINDA UNIVERSITY COMMUNITY PHARMACY (NPI# 1588768535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588768535 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY COMMUNITY PHARMACY |
| Other Organization Name | LOMA LINDA UNIVERSITY COMM PHCY |
| Practice Address |
25455 Barton Rd Ste 111 A Loma Linda CA 92354-3128 |
| Practice Telephone | 9095586447 |
| Practice Fax Number | 9095586155 |
| Mailing Telephone | 9095586447 |
| Mailing Fax Number | 9095586155 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | MONIQUE MOORE (PHARMACY MANAGER) |
| Authorized Official Telephone | 9095586447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PHY44526 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA445260 | 05 | |
| PK | 1997126 | 01 |
| Other Name | Type Code |
|---|---|
| LOMA LINDA UNIVERSITY COMM PHCY | Doing Business As Name - Organization |
| Street Address |
25455 BARTON RD STE 111 A |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018114 | Gary D Botimer | Orthopaedic Surgery | 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354-3128 | 2005-10-21 |
| 1033753249 | Victoria V Teppone | Family Medicine | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2019-10-30 |
| 1376991059 | Russell Irving Carl Erickson Iv | Student in an Organized Health Care Education/Training Program | 25455 Barton Rd, Suite 206a, Loma Linda, CA 92354-3128 | 2016-06-02 |
| 1164879219 | Megan Ashley Olivas | Registered Nurse | 25455 Barton Rd, 204b, Loma Linda, CA 92354-3128 | 2016-05-18 |
| 1407202328 | Tiffiny Suzanne Pizzifred | Nurse Practitioner | 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354-3128 | 2016-05-10 |
| 1679943054 | Rio Gutierrez Ocampo | Nurse Practitioner | 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354-3128 | 2015-09-29 |
| 1164806329 | Mark R Weber | Physician Assistant | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2015-07-16 |
| 1457731572 | Mopelola Adetola Adeyemo | Internal Medicine | 25455 Barton Rd, Suite 206-a, Loma Linda, CA 92354-3128 | 2015-06-03 |
| 1073991287 | Micah Clement | Physician Assistant | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2015-05-08 |
| 1952713802 | Jack Pierre Dubois | Family Medicine | 25455 Barton Rd, Loma Linda, CA 92354 | 2014-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1477169910 | Sortpak Rx, Inc. | Pharmacy | 124 S Glendale Ave, Glendale, CA 91205-1109 | 2020-09-21 |
| 1700358629 | Grane Supply, Inc. | Pharmacy | 860 Harbour Way S, Richmond, CA 94804-3648 | 2018-12-18 |
| 1649748112 | Entirelypets Pharmacy, LLC. | Pharmacy | 34571 7th St, Union City, CA 94587-3673 | 2018-11-02 |
| 1922593201 | Hk Drugs Inc. | Pharmacy | 13394 Limonite Ave Ste 120, Eastvale, CA 92880-7287 | 2018-06-28 |
| 1790049484 | Peticub | Pharmacy | 1804 S La Cienega Blvd # 102, Los Angeles, CA 90035-4670 | 2012-06-27 |
| 1588923700 | Pharmpak, Inc | Pharmacy | 1221 Andersen Dr Ste B, San Rafael, CA 94901-5337 | 2012-05-08 |
| 1790066348 | Rx America | Pharmacy | 11 Berkshire Ave, Redwood City, CA 94063-3632 | 2011-09-08 |
| 1861787798 | Lurato Inc | Pharmacy | 470 Plumas Blvd Ste 104, Yuba City, CA 95991-5077 | 2011-06-20 |
| 1770893273 | Cv Health Services Inc | Pharmacy | 5123 E Beverly Blvd, Los Angeles, CA 90022-1703 | 2010-10-18 |
| 1871801449 | 4minermeds.com Inc | Pharmacy | 11854 Briar Knoll Pl, Moreno Valley, CA 92557-6229 | 2010-09-16 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.