Organization Active NPI

Kate Pharmaceutical Corp

  • Primary Care Clinic/Center
  • Eastvale, CA
National Provider Identifier
1205637808
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KATE PHARMACEUTICAL CORP
Practice address
13394 Limonite Ave Ste B120
Eastvale, CA 92880-7272
Phone
(951) 444-6788
Fax
(951) 444-6777
NPI assigned
Mar 20, 2025
Organization subpart
Yes
Parent organization
FK3555402As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Mora Antoun
Title
Pharmacist
Phone
(217) 240-2174

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

13394 Limonite Ave Ste B120
Eastvale, CA 92880-7272

Mailing address

13394 Limonite Ave Ste B120
Eastvale, CA 92880-7272
Phone (951) 444-6788

Other names 1

  • Arise Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kate Pharmaceutical Corp3 organizations share this tax ID, including this one
Part of
Kate Pharmaceutical Corp

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1205637808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13394 LIMONITE AVE STE B120",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928807272",
            "telephone_number": "951-444-6788",
            "fax_number": "951-444-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13394 LIMONITE AVE STE B120",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928807272",
            "telephone_number": "951-444-6788",
            "fax_number": "951-444-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE PHARMACEUTICAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FK3555402",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "ANTOUN",
        "authorized_official_first_name": "MORA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "217-240-2174"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.