Healthcare Provider Details

I. General information

NPI: 1164393922
Provider Name (Legal Business Name): A FAMILY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11919 HESPERIA RD STE C
HESPERIA CA
92345-2158
US

IV. Provider business mailing address

11919 HESPERIA RD STE C
HESPERIA CA
92345-2158
US

V. Phone/Fax

Practice location:
  • Phone: 760-244-3777
  • Fax: 760-244-2845
Mailing address:
  • Phone: 760-244-3777
  • Fax: 760-244-2845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID SAMIR ESTAPHNOUS
Title or Position: OWNER
Credential:
Phone: 714-423-8850