Cvs Pharmacy 7079
Cvs Pharmacy 7079 is a healthcare organization registered as Community/Retail Pharmacy in Fullerton, CA, holding Type 2 (organization) NPI 1780058073 since 2015. The authorized official on file is Dean Pak, Pharmacist-in-Charge.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780058073 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cvs Pharmacy 7079 |
| Practice address | 2200 N HARBOR BLVD, Fullerton, CA, 92835 |
| Phone | 7142696871 |
| Enumeration date | 2015-11-24 |
| Last updated in NPPES | 2015-11-24 |
Authorized official
| Name | Dean Pak |
|---|---|
| Title | Pharmacist-in-Charge |
| Phone | 7142696871 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 71851 | CA |
Copy-ready billing details
Provider: Cvs Pharmacy 7079 NPI: 1780058073 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2200 N HARBOR BLVD, Fullerton, CA, 92835
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871028662 | Trac Nguyen | Individual | Pharmacist | Fullerton, CA |
| 1245766823 | Adeline Pereira | Individual | Pharmacist | Fullerton, CA |
| 1992285456 | Phung Le | Individual | Pharmacist | Fullerton, CA |
| 1770045809 | Amy Gadacz | Individual | Pharmacist | Fullerton, CA |
| 1083277610 | Hong Van Nguyen | Individual | Pharmacist | Fullerton, CA |
| 1740843051 | Kelly Thai | Individual | Pharmacist | Fullerton, CA |
| 1902444276 | Soo Yeon Cho | Individual | Pharmacist | Fullerton, CA |
| 1619582053 | Yumin Jeon | Individual | Pharmacist | Fullerton, CA |
Verify this record
Cross-check NPI 1780058073 against the authoritative CMS record: view Cvs Pharmacy 7079 on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Cvs Pharmacy 7079?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-11-24.