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NPI Code Detail

MEDICARE: JOHN THOMAS MEINHARDT

MEDICARE: JOHN THOMAS MEINHARDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist87414CA

General Provider Information

NPI Number : 1871204271
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN THOMAS MEINHARDT
Provider Business Mailing Address
First Line : 25172 STOCKPORT ST
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-4948
Country : US
Telephone Number : 949-370-6943
Fax Number :
Provider Business Practice Location Address
First Line : 24081 EL TORO RD
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3103
Country : US
Telephone Number : 949-206-9632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2022
Last Update Date : 12/07/2022

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