Provider Demographics
NPI:1316029192
Name:TOI MANAGEMENT, LLC
Entity Type:Organization
Organization Name:TOI MANAGEMENT, LLC
Other - Org Name:TOI EASY RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-430-3865
Mailing Address - Street 1:15262 GOLDENWEST ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6169
Mailing Address - Country:US
Mailing Address - Phone:714-430-3865
Mailing Address - Fax:833-412-0480
Practice Address - Street 1:15262 GOLDENWEST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6169
Practice Address - Country:US
Practice Address - Phone:714-430-3865
Practice Address - Fax:833-412-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA373140Medicaid
CAPHA373140Medicaid
1141130001Medicare NSC