PACIFIC PHARMACY GROUP (NPI# 1730526781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730526781 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHARMACY GROUP |
| Other Organization Name | FALLBROOK LTC PHARMACY |
| Practice Address |
343 E Alvarado St Suite C Fallbrook CA 92028-2966 |
| Practice Telephone | 7607286142 |
| Practice Fax Number | 7607286382 |
| Mailing Telephone | 7607286142 |
| Mailing Fax Number | 7607286382 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-06-14 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
51247 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140772 | 01 |
| Other Name | Type Code |
|---|---|
| Fallbrook LTC 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 |
| 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 |
343 E ALVARADO ST SUITE C |
| 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 |
| 1619181138 | Ligia I Blanco | Dentist | 343 E Alvarado St, Suite B, Fallbrook, CA 92028-1757 | 2007-05-10 |
| 1235208570 | Pacific Pharmacy Group | Durable Medical Equipment & Medical Supplies | 343 E Alvarado St, Fallbrook, CA 92028-2966 | 2006-11-08 |
| 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 | 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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| 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 | ||||
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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.