Organization Active NPI

Royalty Pharmacy, Inc.

  • Pharmacy
  • Pomona, CA
National Provider Identifier
1295280485
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ROYALTY PHARMACY, INC.
Practice address
1902 Royalty Dr Ste 110
Pomona, CA 91767-3036
Phone
(909) 620-8008
Fax
(909) 445-8797
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Brian Garner
Title
President
Phone
(909) 620-8008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY54573 CA
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1902 Royalty Dr Ste 110
Pomona, CA 91767-3036

Mailing address

1902 Royalty Dr Ste 110
Pomona, CA 91767-3036
Phone (909) 620-8008

Other identifiers 1

IdentifierTypeStateIssuer
2163675OtherPK

Other names 1

  • ROYALTY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210816002070 CA DME Supplier - Pharmacy 1557766474 Practice locations: Pomona, CA
O20211014002481 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1557766474 Practice locations: Pomona, CA

National Provider Directory

National Provider Directory
Tax ID family
Brian T Garner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1902 Royalty Dr
Ste 110
Pomona, CA 91767
Phone (909) 620-0343

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1295280485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR STE 110",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673036",
            "telephone_number": "909-620-8008",
            "fax_number": "909-445-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR STE 110",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673036",
            "telephone_number": "909-620-8008",
            "fax_number": "909-445-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-620-8008"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY54573",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROYALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.