Organization Active NPI

Ntegrous Core Corporation

  • Community/Retail Pharmacy
  • Pasadena, CA
National Provider Identifier
1336230010
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NTEGROUS CORE CORPORATION
Practice address
2700 E Foothill Blvd Ste 205
Pasadena, CA 91107-7106
Phone
(626) 398-1696
Fax
(626) 398-9860
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Mrs. Marva Brannum, PHARM.D.NPI 1790993095
Title
Owner
Phone
(626) 398-1696

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 PHY34307 CA
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2700 E Foothill Blvd Ste 205
Pasadena, CA 91107-7106

Mailing address

2700 E Foothill Blvd Ste 205
Pasadena, CA 91107-7106
Phone (626) 398-1696

Other identifiers 2

IdentifierTypeStateIssuer
1336230010MedicaidCA
PHA343070MedicaidCA

Other names 1

  • Anderson 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
O20221003000424 CA Part B Supplier - Pharmacy 7416331475 Practice locations: Pasadena, CA
O20230411000877 CA DME Supplier - Pharmacy 7416331475 Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory
Tax ID family
Anderson Pharmacy2 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

2700 E Foothill Blvd
Ste 205
Pasadena, CA 91107

1864 E Washington Blvd
Ste 105
Pasadena, CA 91104
Phone (626) 398-1696

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1336230010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077106",
            "telephone_number": "626-398-1696",
            "fax_number": "626-398-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077106",
            "telephone_number": "626-398-1696",
            "fax_number": "626-398-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTEGROUS CORE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "BRANNUM",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-398-1696",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY34307",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care 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": "1336230010",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA343070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.