PACIFIC PHARMACY GROUP (NPI# 1477921963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477921963 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHARMACY GROUP |
| Other Organization Name | VALENCIA PHARMACY AT HENRY MAYO |
| Practice Address |
23929 Mcbean Pkwy Ste 100a Santa Clarita CA 91355-4467 |
| Mailing Address |
343 E Alvarado St Suite C Fallbrook CA 92028-2966 |
| Practice Telephone | 6617051330 |
| Practice Fax Number | 6617051329 |
| Mailing Telephone | 7607286142 |
| Mailing Fax Number | 7607286382 |
| Enumeration Date | 2015-09-14 |
| 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 | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
53744 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2154076 | 01 |
| Other Name | Type Code |
|---|---|
| Valencia Pharmacy at Henry Mayo | 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 |
| 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 100A |
| 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 | 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 |
|---|---|---|---|---|
| 1235648767 | Serour, Inc. | Pharmacy | 27534 Sierra Hwy, Santa Clarita, CA 91351-3088 | 2017-09-27 |
| 1366889362 | Cardinal Health Pharmacy Services LLC | Pharmacy | 28341 Constellation Rd, Santa Clarita, CA 91355-5048 | 2013-05-30 |
| 1376894725 | Kum Corporation | Pharmacy | 19409 Soledad Canyon Rd, Santa Clarita, CA 91351-2632 | 2012-09-26 |
| 1629240460 | Walgreen Co. | Pharmacy | 23925 Newhall Ranch Rd, Santa Clarita, CA 91355-5701 | 2008-04-01 |
| 1720148364 | Valencia Town Center Pharmacy, Inc | Pharmacy | 26357 Mcbean Pkwy Ste 140, Santa Clarita, CA 91355-4491 | 2006-12-12 |
| 1154431757 | Costco Wholesale Corporation | Pharmacy | 18649 Via Princessa, Santa Clarita, CA 91387 | 2006-08-30 |
| 1245275049 | Garfield Beach Cvs LLC | Pharmacy | 26861 Sierra Hwy, Santa Clarita, CA 91321-2274 | 2006-06-17 |
| 1740223940 | Garfield Beach Cvs LLC | Pharmacy | 27983 Seco Canyon Road, Santa Clarita, CA 91350 | 2006-06-14 |
| 1679514582 | Garfield Beach Cvs LLC | Pharmacy | 24840 Orchard Village Rd, Santa Clarita, CA 91355-3054 | 2006-06-10 |
| 1013964592 | Walgreen Co | Pharmacy | 28460 Haskell Canyon Rd, Santa Clarita, CA 91390-5203 | 2006-05-28 |
| Find all providers in SANTA CLARITA | ||||
| 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.