Mariomina Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54605 Issued in CA

Legal business name

MARIOMINA INC

Practice address

820 W San Bernardino Rd
Covina, CA 91722-3622

Phone

(626) 446-6088

Fax

(626) 446-9399

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Maged Beshay

Title

Pharmacist in Charge

Phone

(909) 837-8560

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• EO PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1225073083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223622",
            "telephone_number": "626-446-6088",
            "fax_number": "626-446-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223622",
            "telephone_number": "626-446-6088",
            "fax_number": "626-446-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIOMINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "BESHAY",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "909-837-8560"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54605",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113683",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Pepper Mares
• Evany Marin
• Imelda Marie Marin
• Marina Health of California
• Bryan Marinas, PHARMD
• Charles Marisa
• Estephanie Guadalupe Mariscal Perez
• Deante J. Markey
• Denise Marmolejo, BS
• Gladis A Marquez

• Community/Retail Pharmacy in Covina, CA
• Providers in Covina, 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, 2017; 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.