Newport Lido Pharmacy

LBN: Pacific Pharmacy Group
Newport Lido Pharmacy is an health care organization with primary practice located at 351 Hospital Rd Ste 107, Newport Beach CA 92663-3594. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pacific Pharmacy Group can be contacted via phone (949) 764-6580, or through Hom, Stephen via phone (949) 764-6580.

Contact Information

Primary practice address
351 Hospital Rd Ste 107 Newport Beach CA 92663-3594
Phone: (949) 764-6580
Fax: (949) 764-6581
Website:
Map and Directions
Authorized official contact:
Name: Hom, Stephen
Phone: (949) 764-6580

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY49987 California

Profile Details

NPI number 1164550885
LBN Legal business name Pacific Pharmacy Group
DBA Doing business as Newport Lido Pharmacy
Authorized official Hom, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated May 27th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164550885 NPPES
California MEDICAID 1164550885
California Other 2121543

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