THEO LACY CORRECTIONAL FACILITY PHARMACY (NPI# 1871813303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871813303 |
| Entity Type | Organization |
| Organization Name | THEO LACY CORRECTIONAL FACILITY PHARMACY |
| Practice Address |
501 City Drive South Orange CA 92868 |
| Practice Telephone | 7149358122 |
| Practice Fax Number | 7149358199 |
| Mailing Telephone | 7149358122 |
| Mailing Fax Number | 7149358199 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | MS. TERRE DUENSING (IHS DIVISION MANAGER) |
| Authorized Official Telephone | 7148344418 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | LCF 45678 | CA | Suppliers |
| Street Address |
501 CITY DRIVE SOUTH |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952557191 | April Ruth Barrio | Nurse Practitioner | 501 City Drive South, Health Care Agency, Orange, CA 92868-3390 | 2008-08-07 |
| 1851949895 | Joy Fehr | Registered Nurse | 501 City Drive South, Orange, CA 92868 | 2019-09-03 |
| 1083014146 | Roberto Angelo Tupasi | Registered Nurse | 501 City Drive South, Orange, CA 92868 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891146791 | Orange Markets LLC | Pharmacy | 259 Bull Hill Ln, Orange, CT 06477-3212 | 2016-06-22 |
| 1164812327 | K & T Pharmacy Inc | Pharmacy | 3116 E Chapman Ave, Orange, CA 92869-3708 | 2015-01-27 |
| 1023439957 | Abc Medicine Inc | Pharmacy | 7626 E Chapman Ave Ste C, Orange, CA 92869-8532 | 2013-12-19 |
| 1528128758 | Cannon Drugs | Pharmacy | 1233 N Tustin Ave, Orange, CA 92867-5147 | 2006-12-11 |
| 1326111840 | Kroger Texas L P | Pharmacy | 1600 N 16th St, Orange, TX 77630-3616 | 2006-11-15 |
| 1629167275 | Big A Drug Store Inc | Pharmacy | 1538 E Chapman Ave, Orange, CA 92866-2231 | 2006-10-12 |
| 1083726079 | Watson Drug Inc | Pharmacy | 116 E Chapman Ave, Orange, CA 92866-1402 | 2006-08-31 |
| 1407961436 | Magdi F Haroun | Pharmacy | 705 W La Veta Ave Ste 110a, Orange, CA 92868-4447 | 2006-08-20 |
| 1316958903 | Orange Pharmacy LLC | Pharmacy | 1301 W Park Ave, Orange, TX 77630-4923 | 2006-08-10 |
| 1861434649 | Txrx Pharmacy | Pharmacy | 2 Putnam Ave, Orange, TX 77630-2328 | 2006-06-13 |
| Find all providers in ORANGE | ||||
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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.