1528146644 NPI number — AURO PHARMACIES INC

Table of content: (NPI 1528146644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528146644 NPI number — AURO PHARMACIES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AURO PHARMACIES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CENTRAL DRUGS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528146644
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
520 W LA HABRA BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA HABRA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90631-5308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-691-6754
Provider Business Mailing Address Fax Number:
562-694-3869

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
520 W LA HABRA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA HABRA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90631-5308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-691-6754
Provider Business Practice Location Address Fax Number:
562-694-3869
Provider Enumeration Date:
11/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
NAYAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
562-691-6754

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PHY49146 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336M0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2040468 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: PHA491460 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".