Prime RX West Covina Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRIME RX WEST COVINA INC

Practice address

1523 E Amar Rd
West Covina, CA 91792-1619

Phone

(626) 667-7108

Fax

(626) 667-7193

NPI assigned

Nov 4, 2022

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ying Annie Lin, PHARM DNPI 1336672435

Title

Owner

Phone

(626) 667-7108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ying Annie Lin, PHARM.D

  • Pharmacist
  • Arcadia, CA
  • NPI 1336672435
  NPD (past) Authorized official

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1225745508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18397 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482749",
            "telephone_number": "626-667-7108",
            "fax_number": "626-667-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 E AMAR RD",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921619",
            "telephone_number": "626-667-7108",
            "fax_number": "626-667-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME RX WEST COVINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "YING",
        "authorized_official_middle_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-667-7108",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cary A Presant, M.D.
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• Project Raised
• Jennifer Mae Pruitt, PSY.D.
• Puente Hills Optometry Inc.
• Chanel Sofia Pugliese, RDHAP

• Community/Retail Pharmacy in West Covina, CA
• Providers in West 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 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.