Active NPI
Ntegrous Core Corporation
- Community/Retail Pharmacy
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marva Brannum, PHARM.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336230010 | Medicaid | CA | |
| PHA343070 | Medicaid | CA |
Other names 1
- Anderson 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 |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Pasadena, CA
- NPI 1598680688
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.
-
- Pharmacist
- Pasadena, CA
- NPI 1790993095
-
- Pharmacist
- Pasadena, CA
- NPI 1871672261
-
- Pharmacist
- Pasadena, CA
- NPI 1912788654
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.