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PGBB LLC NPI 1104191592


NPI Information

NPI: 1104191592
Provider Name: PGBB LLC

Doing Business As: SPECIALTY CARE RX

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
2140 W CHAPMAN AVE
STE 110
ORANGE, CA
ZIP 92868
Phone: (714) 941-6177
Get Directions

PGBB LLC is a specialty pharmacy pharmacy in Orange, CA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. PGBB LLC NPI is 1104191592. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Care Rx.

The provider's business location address is:

2140 W CHAPMAN AVE
STE 110
ORANGE, CA
ZIP 92868-330
Phone: (714) 941-6177
Fax: (714) 941-6178

The provider's authorized official is Phillip Montano .
The authorized official title is Member and has the following contact phone number (714) 941-6177.

The enumeration date for this NPI number is 3/19/2012 and was last updated on 9/2/2020.


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
13336C0003XPharmacyCommunity/Retail PharmacyPHY 52484CALIFORNIANo
23336H0001XPharmacyHome Infusion Therapy PharmacyNo
33336S0011XPharmacySpecialty PharmacyYes

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
15643184OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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