Active NPI
Kate Pharmaceutical Corp
- Community/Retail Pharmacy
- Eastvale, CA
National Provider Identifier
1043993926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231214002375 | CA | Part B Supplier - Pharmacy | 4789033861 | Practice locations: Eastvale, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Kate Pharmaceutical Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Eastvale, CA
- NPI 1205637808
-
- Long Term Care Pharmacy
- Eastvale, CA
- NPI 1386472157
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.