Organization Active NPI

Carson Pharmacy Inc.

Doing business as Novacare Pharmacy

  • Community/Retail Pharmacy
  • Long Beach, CA
National Provider Identifier
1073220463
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CARSON PHARMACY INC.
Doing business as
Novacare Pharmacy
Practice address
1180 E Carson St
Long Beach, CA 90807-3662
Phone
(562) 362-6422
Fax
(562) 362-6393
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Sean Patel, PHARM.D.NPI 1477225399
Title
Chief Financial Officer
Phone
(714) 457-7686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1180 E Carson St
Long Beach, CA 90807-3662

Mailing address

1180 E Carson St
Long Beach, CA 90807-3662
Phone (562) 362-6422

Other names 1

  • Novacare Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1180 E Carson St
Long Beach, CA 90807
Phone (562) 362-6422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1073220463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073662",
            "telephone_number": "562-362-6422",
            "fax_number": "562-362-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E CARSON ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073662",
            "telephone_number": "562-362-6422",
            "fax_number": "562-362-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-12-07",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "714-457-7686",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novacare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.