Brand New Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY52439 Issued in CA

Legal business name

BRAND NEW PHARMACY INC

Doing business as

Brand New Pharmacy Inc

Practice address

1819 W Redlands Blvd Ste 101
Redlands, CA 92373-3121

Phone

(909) 335-5400

Fax

(909) 335-9300

NPI assigned

Feb 14, 2015

Organization subpart

No

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

Authorized official

Name

Shams H Gerges, OWNER

Title

Owner,MGR,Ao

Phone

(909) 335-5400

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Brand New Pharmacy Inc Doing business as

Tax ID family

Brand New 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.

• Brand New Pharmacy Inc

  • Long Term Care Pharmacy
  • Redlands, CA
  • NPI 1164985628
  NPD tax ID

Practitioners 1

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

• Marina George Gerges, MD

  • Student in an Organized Health Care Education/Training Program
  • Rancho Mirage, CA
  • NPI 1336884329
  NPD

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1356732135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W REDLANDS BLVD STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733121",
            "telephone_number": "909-335-5400",
            "fax_number": "909-335-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W REDLANDS BLVD STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733121",
            "telephone_number": "909-335-5400",
            "fax_number": "909-335-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAND NEW PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-14",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "SHAMS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER,MGR,AO",
        "authorized_official_telephone_number": "909-335-5400",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY52439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA52439",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150391",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brand New Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brand New Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradford Healthcare
• Donald Damon Bradley, MSW
• Rebecca Lee Bradshaw, CMT
• Shyam Brahmbhatt, D.M.D.
• Brand New Pharmacy Inc
• Cherry L. Brandstater, M.D.
• David Brandt, NP
• Jens Peter Brandt, R.P.T
• Wayne Brandt, D.D.S.
• Christine Brassfield, LCSW

• Community/Retail Pharmacy in Redlands, CA
• Providers in Redlands, 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 Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.