Provider Demographics
NPI:1841201357
Name:RAMPART PHARMACIES INC
Entity Type:Organization
Organization Name:RAMPART PHARMACIES INC
Other - Org Name:NEWPORT BAY HOSP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-650-9750
Mailing Address - Street 1:4711 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-4112
Mailing Address - Country:US
Mailing Address - Phone:714-981-4384
Mailing Address - Fax:714-639-4769
Practice Address - Street 1:1501 E 16TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-5924
Practice Address - Country:US
Practice Address - Phone:949-650-9750
Practice Address - Fax:949-650-8573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHSP396573336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2115034OtherPK