Egyptian Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51885 Issued in CA

Legal business name

EGYPTIAN INC

Practice address

1875 California Ave
Corona, CA 92881-6477

Phone

(951) 817-1005

Fax

(951) 817-1020

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Mina Kolta

Title

Owner

Phone

(626) 513-5127

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• TruCare Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1285959007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 CALIFORNIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816477",
            "telephone_number": "951-817-1005",
            "fax_number": "951-817-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CALIFORNIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816477",
            "telephone_number": "951-817-1005",
            "fax_number": "951-817-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGYPTIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "KOLTA",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-513-5127"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51885",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285959007",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loren Edry
• Megan Edwards
• Abigail Marie Egger
• Julie Schraner Egle
• Lee Egleston
• Egyptian Inc
• Ehabsamaan DDS Inc
• Eikerbee, Inc
• Ej Politoske MD Inc
• Srinidhi Ekkati, PA-C

• Community/Retail Pharmacy in Corona, CA
• Providers in Corona, 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 Mar 9, 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.