CBC Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48773 Issued in CA

Legal business name

CBC PROFESSIONAL PHARMACY INC

Doing business as

CBC Rose Clinic Pharmacy

Practice address

420 W Rowland St
Covina, CA 91723-2943

Phone

(626) 966-9888

Fax

(626) 966-1879

NPI assigned

Sep 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marla Freed

Title

President

Phone

(909) 982-4843

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CBC ROSE CLINIC PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1033202460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ERVILLA PL",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673019",
            "telephone_number": "909-629-2823",
            "fax_number": "909-629-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232943",
            "telephone_number": "626-966-9888",
            "fax_number": "626-966-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBC PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-982-4843"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989164",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA487730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBC ROSE CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Cavalcanti
• Denise Ariel Kheng Cavaltera
• Marcus Shane Caviness
• Melvina Cayetano-Mateos
• Brianna Cazares
• Alecxa Cebada
• Jessenia Ceballos Garcia
• Ayleen Cecena
• Alexis Cedillo
• Alexia Rubi Ceja

• Community/Retail Pharmacy in Covina, CA
• Providers in Covina, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.