Mintwood Pharmacueticals, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MINTWOOD PHARMACUETICALS, INC.

Doing business as

Mintwood Pharmacy

Practice address

455 N Lake Ave
Pasadena, CA 91101

Phone

(626) 314-2945

Fax

(626) 314-2944

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Nancy EliasNPI 1710351507

Title

Vice President & Pic

Phone

(626) 314-2945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mintwood Pharmacy Doing business as

Locations

Practitioners 2

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

• Nancy Elias

  • Pharmacist
  • Los Angeles, CA
  • NPI 1710351507
  NPD Authorized official
• Milad Tossoun, RPH

  • Pharmacist
  • Granada Hills, CA
  • NPI 1730511619
  NPD

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1184022188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011215",
            "telephone_number": "626-314-2945",
            "fax_number": "626-314-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-314-2945",
            "fax_number": "626-314-2944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 N Maclay Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913402143",
            "country_code": "US",
            "telephone_number": "818-363-8108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 N Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91101",
            "country_code": "US",
            "telephone_number": "626-314-2945",
            "fax_number": "626-314-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINTWOOD PHARMACUETICALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VICE PRESIDENT & PIC",
        "authorized_official_telephone_number": "626-314-2945"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE PERMIT",
            "identifier": "PHY56896",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mintwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mar Minjares, MFC 53586
• Ashley Lauren Mink, LMFT
• Chris L Minnick, M.D.
• Nicole Minor
• Mint Health Solutions, Inc
• Mary A Mioux Berry, DO
• Mohsen Mir, DDS
• Lisa Alexandra Mirabelli, PSY.D.
• Miracle Hearts Home Health Care, Inc.
• Elisabeth Miramontes, CPO

• Community/Retail Pharmacy in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.