PACIFIC PHARMACY GROUP (NPI# 1235208570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235208570 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHARMACY GROUP |
| Other Organization Name | FALLBROOK PHARMACY |
| Practice Address |
343 E Alvarado St Fallbrook CA 92028-2966 |
| Mailing Address |
1010 W La Veta Ave Suite 130 Orange CA 92868-4300 |
| Practice Telephone | 7607281607 |
| Practice Fax Number | 7607282398 |
| Mailing Telephone | 9492155522 |
| Mailing Fax Number | 9492158988 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | JAN BALTHASAR (CEO) |
| Authorized Official Telephone | 9492155522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49043 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1992005 | 01 | |
| CA | 1235208570 | 05 |
| Other Name | Type Code |
|---|---|
| FALLBROOK PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386013985 | Pacific Pharmacy Group | Pharmacy | 23929 Mcbean Pkwy Ste 100b, Santa Clarita, CA 91355-4467 | 2015-09-24 |
| 1477921963 | Pacific Pharmacy Group | Pharmacy | 23929 Mcbean Pkwy Ste 100a, Santa Clarita, CA 91355-4467 | 2015-09-14 |
| 1609003276 | Pacific Pharmacy Group | Pharmacy | 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 | 2009-06-22 |
| 1164662664 | Pacific Pharmacy Group | Pharmacy | 351 Hospital Rd Ste 211, Newport Beach, CA 92663-3504 | 2009-02-24 |
| 1073938114 | Pacific Pharmacy Group | Durable Medical Equipment & Medical Supplies | 25050 Peachland Ave Ste 100, Newhall, CA 91321-2523 | 2014-02-26 |
| 1730526781 | Pacific Pharmacy Group | Pharmacy | 343 E Alvarado St, Suite C, Fallbrook, CA 92028-2966 | 2013-05-31 |
| 1982854956 | Pacific Pharmacy Group | Pharmacy | 1010 W La Veta Ave, Suite 130, Orange, CA 92868-4301 | 2008-09-25 |
| 1164550885 | Pacific Pharmacy Group | Pharmacy | 351 Hospital Rd, Ste 107, Newport Beach, CA 92663-3594 | 2007-03-02 |
| 1700952306 | Pacific Pharmacy Group | Durable Medical Equipment & Medical Supplies | 23550 Lyons Ave, #111, Newhall, CA 91321 | 2006-11-27 |
| Street Address |
343 E ALVARADO ST |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023053261 | Fallbrook Pharmacy Inc II | Durable Medical Equipment & Medical Supplies | 343 E Alvarado St, Ste B, Fallbrook, CA 92028-2966 | 2006-06-20 |
| 1730526781 | Pacific Pharmacy Group | Pharmacy | 343 E Alvarado St, Suite C, Fallbrook, CA 92028-2966 | 2013-05-31 |
| 1619181138 | Ligia I Blanco | Dentist | 343 E Alvarado St, Suite B, Fallbrook, CA 92028-1757 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
| Find all providers in zip 92028 | ||||
| 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 |
|---|---|---|---|---|
| 1891942108 | Walgreen Co. | Pharmacy | 1285 S Mission Rd, Fallbrook, CA 92028-4005 | 2008-08-19 |
| 1154362028 | Garfield Beach Cvs LLC | Pharmacy | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2006-06-09 |
| 1649695800 | Gokul Corporation | Pharmacy | 587 E Elder St, Suite C, Fallbrook, CA 92028-3003 | 2014-02-25 |
| 1730526781 | Pacific Pharmacy Group | Pharmacy | 343 E Alvarado St, Suite C, Fallbrook, CA 92028-2966 | 2013-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PACIFIC PHARMACY GROUP.
| 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.