STAR DRUG CENTER (NPI# 1386633642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386633642 |
| Entity Type | Organization |
| Organization Name | STAR DRUG CENTER |
| Other Organization Name | STAR DRUG CENTER |
| Practice Address |
1151 Calimesa Blvd Calimesa CA 92320-1549 |
| Practice Telephone | 9097952457 |
| Mailing Telephone | 9097952457 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | MR. MICHAEL LOGAN (PRESIDENT) |
| Authorized Official Telephone | 9097952457 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | Y |
| Parent Organization Name | CALIMESA PLAZA DRUG, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHY37324 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA373240 | 05 |
| Other Name | Type Code |
|---|---|
| Star Drug Center | Doing Business As Name - Organization |
| Street Address |
1151 CALIMESA BLVD |
| City | CALIMESA |
| State | CA |
| Zip Code | 92320-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811037658 | Michael Logan | Pharmacist | 1151 Calimesa Blvd, Calimesa, CA 92320-1549 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629595558 | Heidi Nicole Bierlein | Behavioral Analyst | 1273 2nd Place, Calimesa, CA 92320 | 2017-08-22 |
| 1932650157 | Donna Baker | Licensed Psychiatric Technician | 116 Sandy Hill Ct., Calimesa, CA 92320 | 2016-10-24 |
| 1184933228 | Israel Armijo | Dentist | 138 Harruby Dr., Calimesa, CA 92320 | 2010-10-06 |
| 1194044347 | Robbin S Caneva | Social Worker | 1096 Calimesa Blvd Ste 227, Calimesa, CA 92320 | 2010-05-27 |
| 1629265970 | Bernard Arthur Cirullo Sr. | Chiropractor | 569 W. County Line Rd., Calimesa, CA 92320 | 2007-10-01 |
| 1154487197 | Comfort Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 542 Myrlewood Dr, Calimesa, CA 92320 | 2006-12-27 |
| 1063723476 | Mark A Gray | Chiropractor | 1025 Calimesa Blvd, Suite #1, Calimesa, CA 92320 | 2010-06-30 |
| 1649613464 | Dorota Krystyna Rhoads | Student in an Organized Health Care Education/Training Program | 1025 N. Douty St., Suite 105, Hanford Family Practice Residency, Hanford, CA 92320-0000 | 2013-04-11 |
| 1205073673 | Saralyn Louise Tossetti | Speech-Language Pathologist | 780 W County Line Rd, Calimesa, CA 92320-1006 | 2009-01-07 |
| 1831722792 | Angel Rose Nemt, LLC | Non-emergency Medical Transport (VAN) | 1271 Pinehurst Dr, Calimesa, CA 92320-1096 | 2020-02-19 |
| Find all providers in zip 92320 | ||||
| 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 |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STAR DRUG CENTER.
| 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.