Montebello Pharmacy,Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHA41430 Issued in CA

Legal business name

MONTEBELLO PHARMACY,INC

Practice address

817 W Whittier Blvd
Montebello, CA 90640-4735

Phone

(323) 722-3200

Fax

(323) 722-3540

NPI assigned

Aug 20, 2005

Last updated

Mar 6, 2018By 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

Mr. Len Shlain

Title

President

Phone

(323) 722-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1124496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1326030776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "323-722-3200",
            "fax_number": "323-722-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "323-722-3200",
            "fax_number": "323-722-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEBELLO PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-20",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "SHLAIN",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-722-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHA41430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Montebello Physicians Quality Care
• Montebello Quality Care Clinic
• Montebello Quality Care Clinic
• Montebello Recovery Center

• Long Term Care Pharmacy in Montebello, CA
• Providers in Montebello, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.