Organization Active NPI

Genesis RX Inc

Doing business as Genesis Pharmacy

  • Community/Retail Pharmacy
  • Chino, CA
National Provider Identifier
1154694404
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GENESIS RX INC
Doing business as
Genesis Pharmacy
Practice address
5385 Walnut Ave Ste 3
Chino, CA 91710-2605
Phone
(951) 442-3724
NPI assigned
Feb 17, 2012
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Mark Anthony Mariano Francisco
Title
President
Phone
(951) 442-3724

Specialties & licenses 1

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

Addresses

Primary practice location

5385 Walnut Ave Ste 3
Chino, CA 91710-2605

Mailing address

22915 Canyon Lake Dr N
Canyon Lake, CA 92587-8015
Phone (951) 442-3724

Other names 1

  • Genesis Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1154694404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22915 CANYON LAKE DR N",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925878015",
            "telephone_number": "951-442-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 WALNUT AVE STE 3",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102605",
            "telephone_number": "951-442-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "MARK ANTHONY",
        "authorized_official_middle_name": "MARIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-442-3724"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.