Organization Active NPI

Kate Pharmaceutical Corp

  • Community/Retail Pharmacy
  • Eastvale, CA
National Provider Identifier
1043993926
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KATE PHARMACEUTICAL CORP
Practice address
13394 Limonite Ave Ste B120
Eastvale, CA 92880-7272
Phone
(217) 240-2174
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Mr. Peter Wasif
Title
Ceo/Sec./Dir.
Phone
(217) 240-2174

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

13394 Limonite Ave Ste B120
Eastvale, CA 92880-7272

Mailing address

13394 Limonite Ave Ste B120
Eastvale, CA 92880-7272
Phone (217) 240-2174

Other names 1

  • Arise Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231214002375 CA Part B Supplier - Pharmacy 4789033861 Practice locations: Eastvale, CA

National Provider Directory

National Provider Directory
Tax ID family
Kate Pharmaceutical Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1043993926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13394 LIMONITE AVE STE B120",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928807272",
            "telephone_number": "217-240-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13394 LIMONITE AVE STE B120",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928807272",
            "telephone_number": "217-240-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE PHARMACEUTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "WASIF",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO/SEC./DIR.",
        "authorized_official_telephone_number": "217-240-2174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.