Organization Active NPI

Care First Pharmacy Inc

Doing business as Glenvista Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
National Provider Identifier
1346614203
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARE FIRST PHARMACY INC
Doing business as
Glenvista Pharmacy
Practice address
1415 E Colorado St
#M
Glendale, CA 91205-1533
Phone
(818) 201-2900
Fax
(877) 581-9949
NPI assigned
Nov 16, 2015
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Mrs. Ashineh Mehrabian, PHARM D
Title
President/Pic
Phone
(818) 201-2900

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Pharmacy 333600000X PHY53906 CA
Prosthetic/Orthotic Supplier 335E00000X NU
Community/Retail Pharmacy 3336C0003X PHY 53906 CA

Addresses

Primary practice location

1415 E Colorado St
#M
Glendale, CA 91205-1533

Mailing address

1415 E Colorado St
#M
Glendale, CA 91205-1533
Phone (818) 201-2900

Other identifiers 1

IdentifierTypeStateIssuer
PHY 53906OtherCABOARD OF PHARMACY RETAIL PERMIT

Other names 1

  • GLENVISTA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161129001057 CA DME Supplier - Pharmacy 5294015707 Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
Care First Pharmacy Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1346614203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E COLORADO ST",
            "address_2": "#M",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051533",
            "telephone_number": "818-201-2900",
            "fax_number": "877-581-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E COLORADO ST",
            "address_2": "#M",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051533",
            "telephone_number": "818-201-2900",
            "fax_number": "877-581-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FIRST PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "MEHRABIAN",
        "authorized_official_first_name": "ASHINEH",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "818-201-2900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY53906",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY RETAIL PERMIT",
            "identifier": "PHY 53906",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENVISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GLENVISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.