Majestic Pharmacy

LBN: Romeo V Villanueva
Majestic Pharmacy is an health care organization with primary practice located at 4456 Vandever Ave Ste 5, San Diego CA 92120-3320. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Romeo V Villanueva can be contacted via phone (619) 280-1254, or through Villanueva, Romeo via phone (619) 280-1254.

Contact Information

Primary practice address
4456 Vandever Ave Ste 5 San Diego CA 92120-3320
Phone: (619) 280-1254
Fax: (619) 280-1255
Website:
Map and Directions
Authorized official contact:
Name: Villanueva, Romeo
Phone: (619) 280-1254

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY44529 California

Profile Details

NPI number 1770529778
LBN Legal business name Romeo V Villanueva
DBA Doing business as Majestic Pharmacy
Authorized official Villanueva, Romeo
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Sep 22nd, 2014 - about 10 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 1770529778 NPPES
Other 1992856 PK
MEDICAID PHA445290 PK

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