TUSTIN PREMIER PHARMACY INC (NPI# 1407323579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407323579 |
| Entity Type | Organization |
| Organization Name | TUSTIN PREMIER PHARMACY INC |
| Practice Address |
217 S Tustin St Orange CA 92866-2321 |
| Practice Telephone | 7147904085 |
| Practice Fax Number | 7147904086 |
| Mailing Telephone | 7147904085 |
| Mailing Fax Number | 7147904086 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | MARY IBRAHIM (OWNER) |
| Authorized Official Telephone | 7147904085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Tustin Premier Pharmacy | Doing Business As Name - Organization |
| Street Address |
217 S TUSTIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600016 | Mary Ibrahim | Pharmacist | 217 S Tustin St, Orange, CA 92866-2321 | 2018-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| 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 |
|---|---|---|---|---|
| 1952918666 | Orangerx Pharmacy Inc | Pharmacy | 240 Indian River Rd Unit F, Orange, CT 06477-3649 | 2020-09-26 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1558921676 | Life Pharmacy Inc | Pharmacy | 1842 N Tustin St, Orange, CA 92865-4605 | 2019-06-20 |
| 1780104869 | Jonathan James Leland Ma | Pharmacy | 396 S Main St. Ste 102, Orange, CA 92868 | 2017-06-21 |
| 1063932275 | Jjlm Pharmaceuticals | Pharmacy | 396 S. Main St. Ste 102, Orange, CA 92868 | 2017-06-20 |
| 1609000801 | Orie Drugs | Pharmacy | 775 N. Tustin Ave, Orange, CA 92867 | 2009-05-04 |
| 1558465369 | Cvs Pharmacy Inc | Pharmacy | 2425 N 16th St, Orange, TX 77630-2382 | 2006-09-12 |
| 1649374455 | Cvs Pharmacy Inc | Pharmacy | 290 Strickland Dr, Orange, TX 77630-4750 | 2006-09-12 |
| 1174545966 | Garfield Beach Cvs LLC | Pharmacy | 2191 N Tustin St, Orange, CA 92865-3701 | 2006-07-24 |
| 1336170679 | Harpers Pharmacy Inc | Pharmacy | 132 S Anita Dr, Second Floor, Orange, CA 92868-3317 | 2006-07-05 |
| Find all providers in ORANGE | ||||
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| 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.