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BASE LINE PHARMACY
NPI 1639180128
Pharmacy - Community/Retail Pharmacy in Fontana, CA

Active since August 10, 2006
13451 BASELINE AVE, STE C, FONTANA, CA 92336(909) 463-4631(909) 463-0945 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Base Line Pharmacy NPPES

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

BASE LINE PHARMACY (NPI 1639180128) is a healthcare organization registered as a community/retail pharmacy in Fontana, California and active in the NPI registry since August 2006. The organization lists Alex Tseng, President, as its authorized official.

NPPES Registry Identity

NPI1639180128
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFORMOSA HEALTH CORP
Location Address13451 BASELINE AVE, STE CFontana, CA 92336-5472
Mailing Address13451 Baseline Ave, Ste CFontana, CA 92336-5472 · (909) 463-4631 · Fax (909) 463-0945
Phone(909) 463-4631
Fax(909) 463-0945
Organization SubpartNo
Authorized OfficialAlex TsengPresident · (909) 463-4631
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 2, 2014
✔ NPI 1639180128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY45877
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
13451 BASELINE AVE, Fontana, CA 92336
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Other Names 1

Doing Business AsBase Line Pharmacy

Other Identifiers 3

Medicare NSC4619030001
MedicaidPHA458770CA
Other2004919Pk

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 Formosa Health Corp's NPI number?

The NPI number for Formosa Health Corp is 1639180128. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Base Line Pharmacy.

Where is Formosa Health Corp located?

Formosa Health Corp is located at 13451 Baseline Ave Ste C, Fontana, CA 92336. The listed phone number is (909) 463-4631.

What is Formosa Health Corp'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 Formosa Health Corp was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.