Angelic RX Pharmacy, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ANGELIC RX PHARMACY, INC.

Practice address

600 N Mountain Ave Ste E
Upland, CA 91786-4359

Phone

(909) 256-3663

Fax

(909) 377-5025

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Shiena Leano

Title

Cfo/VP/Dir

Phone

(909) 256-3773

Specialties & licenses 1

Addresses

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.

• Rosalie Punzalan Corpuz, RPH

  • Pharmacist
  • Upland, CA
  • NPI 1366211286
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1134814593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-256-3663",
            "fax_number": "909-377-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE STE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-256-3663",
            "fax_number": "909-377-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC RX PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "LEANO",
        "authorized_official_first_name": "SHIENA",
        "authorized_official_title_or_position": "CFO/VP/DIR",
        "authorized_official_telephone_number": "909-256-3773"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julianne Angel
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• Nardito Galang Angeles, DDS
• Safia Aniss
• Jennifer Marie Ankele, MSW/LCSW
• Anthony James Antenorcruz Jr., PA-C
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• Anthony Akidi

• Long Term Care Pharmacy in Upland, CA
• Providers in Upland, 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 Dec 20, 2023; 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.