OrganizationActive
B P L P a Pharmacy Corporation
NPI 1043314099 · Community/Retail Pharmacy · Fontana, CA
B P L P a Pharmacy Corporation is a Community/Retail Pharmacy organization in Fontana, CA (NPI 1043314099).
Provider details
- NPI number
- 1043314099
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- George Ibrahim, Ceo(949) 232-4215
Specialties & taxonomies
Suppliers
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17691 San Bernardino Ave
Fontana, CA 92335-5911
Phone: (909) 877-4224
Fax: (909) 877-1674
Street-level locationGet directions
Mailing address
1301 Paseo Grande
Corona, CA 92882-3702
Other names (DBA / former)
- Doing business as
- Coles Village Pharmacy
- Doing business as
- Coles Village Pharmacy
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2018-09-12
Frequently asked questions
- What is B P L P a Pharmacy Corporation's NPI number?
- B P L P a Pharmacy Corporation's National Provider Identifier (NPI) is 1043314099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is B P L P a Pharmacy Corporation?
- B P L P a Pharmacy Corporation is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is B P L P a Pharmacy Corporation located?
- B P L P a Pharmacy Corporation's practice location on file with NPPES is 17691 San Bernardino Ave, Fontana, CA 92335-5911.
- What is B P L P a Pharmacy Corporation's phone number?
- The practice phone number listed in the NPPES registry for B P L P a Pharmacy Corporation is (909) 877-4224.
- Who is the authorized official for B P L P a Pharmacy Corporation?
- The authorized official listed on B P L P a Pharmacy Corporation's NPPES record is George Ibrahim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is B P L P a Pharmacy Corporation's NPI active?
- Yes — B P L P a Pharmacy Corporation's NPI (1043314099) is active in the NPPES registry as of the last update on 2018-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.