Active NPI
Royalty Pharmacy, Inc.
- Pharmacy
- Pomona, CA
National Provider Identifier
1295280485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163675 | Other | PK |
Other names 1
- ROYALTY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Garner
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Pomona, CA
- NPI 1245040823
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.