Provider Demographics
NPI:1639624760
Name:AMERICAN PHARMA CORP
Entity Type:Organization
Organization Name:AMERICAN PHARMA CORP
Other - Org Name:AMERICAN PHARMA WHOLESALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DINESH
Authorized Official - Middle Name:
Authorized Official - Last Name:VITHALANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:760-231-9471
Mailing Address - Street 1:619 CROUCH ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-4460
Mailing Address - Country:US
Mailing Address - Phone:760-231-9471
Mailing Address - Fax:760-231-9476
Practice Address - Street 1:619 CROUCH ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-4460
Practice Address - Country:US
Practice Address - Phone:760-231-9471
Practice Address - Fax:760-231-9476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAWLS6348332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWLS6348OtherCALIFORNIA BOARD OF PHARMACY
CAWLS6348OtherCALIFORNIA BOARD OF PHARMACY