Active NPI
Kirolos Andrawos
- Pharmacist
- Covina, CA
National Provider Identifier
1144881004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- APH10483
- Practice address
- 1009 W San Bernardino Rd
Covina, CA 91722-4106 - Phone
- (626) 209-8160
- NPI assigned
- Jun 21, 2019
- Last updated
- Mar 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | APH10483 | CA | Primary |
Addresses
Primary practice location
1009 W San Bernardino Rd
Covina, CA 91722-4106
Mailing address
635 S Elwood Ave
#213
Glendora, CA 91740
Phone (626) 383-5711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | owlwestern1009@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APH10483 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Care | Current | Accepting new patients | |
| New Care | Current | Accepting new patients | |
| Beaver Medical Group P C | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1508697194
-
dba Beaver Advantage Health Center
- Family Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1144881004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 S ELWOOD AVE",
"address_2": "#213",
"city": "GLENDORA",
"state": "CA",
"postal_code": "91740",
"telephone_number": "626-383-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 W SAN BERNARDINO RD",
"city": "COVINA",
"state": "CA",
"postal_code": "917224106",
"telephone_number": "626-209-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRAWOS",
"first_name": "KIROLOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "APH10483",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "owlwestern1009@gmail.com",
"affiliation": "N",
"address_1": "1009 W San Bernardino Rd",
"city": "Covina",
"state": "CA",
"country_code": "US",
"postal_code": "917224106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.