Organization Active NPI

True Vine Pharmacy Inc

Doing business as Cal Med Pharmacy

  • Community/Retail Pharmacy
  • Long Beach, CA
National Provider Identifier
1316390552
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY54479 Issued in CA
Legal business name
TRUE VINE PHARMACY INC
Doing business as
Cal Med Pharmacy
Practice address
1598 Long Beach Blvd
Ste 102
Long Beach, CA 90813-2384
Phone
(562) 513-3012
Fax
(562) 513-3011
NPI assigned
Jul 22, 2016
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Mikel Abdelnour Abdelmessih, PHARM DNPI 1518236934
Title
President/Ceo/Cfo/Secretary/Directo
Phone
(562) 513-3012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY54479 CA Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1598 Long Beach Blvd
Ste 102
Long Beach, CA 90813-2384

Mailing address

1598 Long Beach Blvd
Ste 102
Long Beach, CA 90813-2384
Phone (562) 513-3012

Other identifiers 1

IdentifierTypeStateIssuer
2160946OtherPK

Other names 1

  • Cal Med 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
O20140708001597 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2961609540 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Monte, CA; Mission Viejo, CA
O20241016001035 CA DME Supplier - Pharmacy 5092247023 Practice locations: Long Beach, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
True Vine Pharmacy1598 Long Beach Blvd, Long Beach, CA 90813-2384(562) 513-3012 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 5, 2024

National Provider Directory

National Provider Directory

Locations

3948 Peck Rd
#A1A2
El Monte, CA 91732
Phone (626) 448-2507

3948 Peck Rd
Unit A1A2
El Monte, CA 91732
Phone (626) 448-2507

1598 Long Beach Blvd
Ste 102
Long Beach, CA 90813
Phone (562) 513-3012

24031 Marguerite Pkwy
Ste A
Mission Viejo, CA 92692
Phone (949) 586-1700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1316390552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 LONG BEACH BLVD",
            "address_2": "STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132384",
            "telephone_number": "562-513-3012",
            "fax_number": "562-513-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 LONG BEACH BLVD",
            "address_2": "STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132384",
            "telephone_number": "562-513-3012",
            "fax_number": "562-513-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE VINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "ABDELMESSIH",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "ABDELNOUR",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/SECRETARY/DIRECTO",
        "authorized_official_telephone_number": "562-513-3012",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54479",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160946",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal Med Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.