Provider Demographics
NPI:1851593560
Name:BELVILLE ENTERPRISES INC
Entity Type:Organization
Organization Name:BELVILLE ENTERPRISES INC
Other - Org Name:RONS PHARMACY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BELVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHRMD
Authorized Official - Phone:619-992-7499
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:DEPARTMENT #2672
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-2672
Mailing Address - Country:US
Mailing Address - Phone:858-652-6900
Mailing Address - Fax:858-652-6999
Practice Address - Street 1:10140 BARNES CANYON RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-2724
Practice Address - Country:US
Practice Address - Phone:858-652-6900
Practice Address - Fax:858-652-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 3336I0012X
CAPHY486823336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2112646OtherPK
CAPHA486820Medicaid
CA6253570001Medicare NSC