Great Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREAT COMPANY

Doing business as

986 Pharmacy #8032

Practice address

2554 E Washington Blvd
Ste B
Pasadena, CA 91107-1445

Phone

(626) 791-7595

Fax

(626) 791-3564

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Lilia Xu, PHARM D.

Title

Ceo

Phone

(626) 791-7595

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• 986 Pharmacy #8032 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1346378007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 E WASHINGTON BLVD",
            "address_2": "STE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071445",
            "telephone_number": "626-791-7595",
            "fax_number": "626-791-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 E WASHINGTON BLVD",
            "address_2": "STE B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071445",
            "telephone_number": "626-791-7595",
            "fax_number": "626-791-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "LILIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-791-7595",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8032",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Lynn Gray, PSY.D.
• Megan A Gray, PSY.D.
• Sharon Kay Gray, CCC-SLP
• Rachel Grayczyk
• Jonathan Bruce Grayson, PH.D.
• Nicholas Withrow Greco, M.D.
• Roberta Diane Green PH.D., MSW, PH.D.
• Berzette Green
• Desiree Green
• Emma L Green, PT

• Community/Retail Pharmacy in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.