1. Home
  2. Directory
  3. California
  4. Fontana
  5. Pharmacy
  6. NPI Profile

COLES VILLAGE PHARMACY
NPI 1043314099
Pharmacy - Community/Retail Pharmacy in Fontana, CA

Active since September 12, 2006
17691 SAN BERNARDINO AVE, FONTANA, CA 92335(909) 877-4224(909) 877-1674 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coles Village Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLES VILLAGE PHARMACY (NPI 1043314099) is a healthcare organization registered as a community/retail pharmacy in Fontana, California and active in the NPI registry since September 2006. The organization lists George Ibrahim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043314099
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameB P L P A PHARMACY CORPORATION
Location Address17691 SAN BERNARDINO AVEFontana, CA 92335-5911
Mailing Address1301 Paseo GrandeCorona, CA 92882-3702 · (949) 232-4215
Phone(909) 877-4224
Fax(909) 877-1674
Organization SubpartNo
Authorized OfficialGeorge IbrahimCeo · (949) 232-4215
Enumeration DateSeptember 12, 2006
Last NPPES UpdateSeptember 12, 2018
✔ NPI 1043314099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY50435
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
17691 SAN BERNARDINO AVE, Fontana, CA 92335
Open in Google Maps ↗

Other Names 1

Doing Business AsColes Village Pharmacy

Other Identifiers 1

Other0507737Ncpdp Provider Identification Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is B P L P A Pharmacy Corporation's NPI number?

The NPI number for B P L P A Pharmacy Corporation is 1043314099. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as Coles Village Pharmacy.

Where is B P L P A Pharmacy Corporation located?

B P L P A Pharmacy Corporation is located at 17691 San Bernardino Ave, Fontana, CA 92335. The listed phone number is (909) 877-4224.

What is B P L P A Pharmacy Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for B P L P A Pharmacy Corporation was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.