PACIFIC PHARMACY GROUP (NPI# 1386013985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386013985 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHARMACY GROUP |
| Other Organization Name | VALENCIA PHARMACY LTC AT HENRY MAYO |
| Practice Address |
23929 Mcbean Pkwy Ste 100b Santa Clarita CA 91355-4467 |
| Mailing Address |
351 Hospital Rd Ste 211 Newport Beach CA 92663-3504 |
| Practice Telephone | 6612557910 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | STEPHEN HOM (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9497646580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY53745 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2154252 | 01 |
| Other Name | Type Code |
|---|---|
| Valencia Pharmacy LTC at Henry Mayo | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1235208570 | Pacific Pharmacy Group | Durable Medical Equipment & Medical Supplies | 343 E Alvarado St, Fallbrook, CA 92028-2966 | 2006-11-08 |
| Street Address |
23929 MCBEAN PKWY STE 100B |
| City | SANTA CLARITA |
| State | CA |
| Zip Code | 91355-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARITA |
| Zip Code | 91355 |
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.