Organization Active NPI

Medella Care, Inc

Doing business as Medella Pharmacy 1

  • Community/Retail Pharmacy
  • Downey, CA
National Provider Identifier
1336601764
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDELLA CARE, INC
Doing business as
Medella Pharmacy 1
Practice address
8610 Firestone Blvd
Downey, CA 90241-5243
Phone
(562) 622-6227
Fax
(562) 622-6229
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Joseph GirgisNPI 1932555075
Title
Pic
Phone
(562) 622-6227

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8610 Firestone Blvd
Downey, CA 90241-5243

Mailing address

8610 Firestone Blvd
Downey, CA 90241-5243
Phone (562) 622-6227

Other names 1

  • Medella Pharmacy 1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200203001651 CA Part B Supplier - Pharmacy 6204262686 Practice locations: Downey, CA
O20200506002065 CA DME Supplier - Pharmacy 6204262686 Practice locations: Downey, CA

National Provider Directory

National Provider Directory

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": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1336601764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415243",
            "telephone_number": "562-622-6227",
            "fax_number": "562-622-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415243",
            "telephone_number": "562-622-6227",
            "fax_number": "562-622-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDELLA CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "562-622-6227"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medella Pharmacy 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medella Pharmacy 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.