CVS PHARMACY 7079 (NPI# 1780058073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780058073 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY 7079 |
| Practice Address |
2200 N Harbor Blvd Fullerton CA 92835-2605 |
| Mailing Address |
2001 Calle Alegria Fullerton CA 92833-1747 |
| Practice Telephone | 7142696871 |
| Mailing Telephone | 7142696871 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | DEAN PAK (PHARMACIST-IN-CHARGE) |
| Authorized Official Telephone | 7142696871 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
71851 | CA | Suppliers |
| Street Address |
2200 N HARBOR BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582053 | Yumin Jeon | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2020-09-12 |
| 1902444276 | Soo Yeon Cho | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2019-12-17 |
| 1740843051 | Kelly Thai | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2019-04-22 |
| 1083277610 | Hong Van Nguyen | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2019-04-18 |
| 1770045809 | Amy Susan Gadacz | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2019-04-06 |
| 1992285456 | Phung Khanh Le | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2018-08-15 |
| 1245766823 | Adeline Pereira | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2017-05-03 |
| 1871028662 | Trac Nguyen | Pharmacist | 2200 N Harbor Blvd, Fullerton, CA 92835-2605 | 2017-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| 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 |
|---|---|---|---|---|
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1538359856 | F & N Pharma,inc. | Pharmacy | 301 W Bastanchury Rd # 100b, Fullerton, CA 92835-3419 | 2007-08-01 |
| 1063457968 | Garfield Beach Cvs LLC | Pharmacy | 312 N Euclid St, Fullerton, CA 92832-1623 | 2006-06-17 |
| 1831134725 | Garfield Beach Cvs LLC | Pharmacy | 455 N State College Blvd, Fullerton, CA 92831-4258 | 2006-06-17 |
| 1639110554 | Garfield Beach Cvs LLC | Pharmacy | 1823 W Orangethorpe Ave, Fullerton, CA 92833-4405 | 2006-06-10 |
| 1770063398 | Kin Lim Chu | Pharmacy | 1823 W Orangethorpe Ave, Fullerton, CA 92833-4405 | 2018-08-14 |
| 1083860084 | Benjamin Rothman A Pharmacy Corporation | Pharmacy | 100 E Valencia Mesa Dr, Suite 106, Fullerton, CA 92835-3813 | 2008-08-11 |
| 1164692745 | Fullerton Medical Pharmacy Inc | Pharmacy | 1401 S Brookhurst Rd, Ste 101, Fullerton, CA 92833-4471 | 2008-03-10 |
| 1437237666 | C.k.c. Investment,inc. | Pharmacy | 100 E Valencia Mesa Dr, Fullerton, CA 92835-3813 | 2006-11-02 |
| 1255441853 | Costco Wholesale Corporation | Pharmacy | 900 S Harbor Blvd, Fullerton, CA 92832 | 2006-08-30 |
| Find all providers in FULLERTON | ||||
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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.