OrganizationActive
Tustin Community Pharmacy Inc
NPI 1497891766 · Community/Retail Pharmacy · Villa Park, CA
Tustin Community Pharmacy Inc is a Community/Retail Pharmacy organization in Villa Park, CA (NPI 1497891766).
Provider details
- NPI number
- 1497891766
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Adam Bollenbach, Pharmacist-In-Charge, Vice Pres.(714) 998-3030
- License
- PHY46551 (CA)
Specialties & taxonomies
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
17821 Santiago Blvd
Villa Park, CA 92861-4133
Phone: (714) 998-3030
Fax: (714) 998-6060
Street-level locationGet directions
Mailing address
17821 Santiago Blvd
Villa Park, CA 92861-4133
Other names (DBA / former)
- Doing business as
- Villa Park Pharmacy
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tustin Community Pharmacy Inc's NPI number?
- Tustin Community Pharmacy Inc's National Provider Identifier (NPI) is 1497891766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tustin Community Pharmacy Inc?
- Tustin Community Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Tustin Community Pharmacy Inc located?
- Tustin Community Pharmacy Inc's practice location on file with NPPES is 17821 Santiago Blvd, Villa Park, CA 92861-4133.
- What is Tustin Community Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Tustin Community Pharmacy Inc is (714) 998-3030.
- Who is the authorized official for Tustin Community Pharmacy Inc?
- The authorized official listed on Tustin Community Pharmacy Inc's NPPES record is Adam Bollenbach, Pharmacist-In-Charge, Vice Pres.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tustin Community Pharmacy Inc's NPI active?
- Yes — Tustin Community Pharmacy Inc's NPI (1497891766) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.