Entag Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY49784 Issued in CA

Legal business name

ENTAG INC

Practice address

1685 E Main St
Ste 101
El Cajon, CA 92021-5225

Phone

(619) 383-2757

Fax

(619) 956-3136

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mohammad Fathie

Title

Cfo

Phone

(619) 200-3927

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Medicine Care Pharmacy II Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Judith Lena Rosenzweig, PHARMD, RPH

  • Ambulatory Care Pharmacist
  • El Cajon, CA
  • NPI 1326717372
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1083786867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E MAIN ST",
            "address_2": "STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215225",
            "telephone_number": "619-383-2757",
            "fax_number": "858-429-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 E MAIN ST",
            "address_2": "STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215225",
            "telephone_number": "619-383-2757",
            "fax_number": "619-956-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTAG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "FATHIE",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-200-3927"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA433180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2001246",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Care Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.