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ABC PHARMACY NPI 1871967315


NPI Information

NPI: 1871967315
Provider Name: ABC PHARMACY
Classification: Pharmacy - 3336M0002X
Entity Type: Organization

Specialization: Mail Order Pharmacy

CLIA Number: 05D2215698

Address:
7974 HAVEN AVE
120
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (877) 222-4598
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ABC PHARMACY is a mail order pharmacy pharmacy in Rancho Cucamonga, CA. The provider is 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. ABC PHARMACY NPI is 1871967315. The provider is registered as an organization entity type.

The provider's business location address is:

7974 HAVEN AVE
120
RANCHO CUCAMONGA, CA
ZIP 91730-052
Phone: (877) 222-4598

The provider's authorized official is Jonathan Michael Chan .
The authorized official title is Pharmacist-in-charge and has the following contact phone number (909) 285-1118.

The CLIA number assigned to this NPI record is 05D2215698 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2015 and was last updated on 11/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336M0002XPharmacyMail Order Pharmacy006449ARIZONANo
23336M0002XPharmacyMail Order Pharmacy03414NEVADANo
33336M0002XPharmacyMail Order Pharmacy63648CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245676618MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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