HP Badesha Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47517 Issued in CA

Legal business name

HP BADESHA CO

Doing business as

GLENDORA MEDICAL PHARMACY

Practice address

130 W Route 66 Ste 104
Glendora, CA 91740-6250

Phone

(626) 335-0288

Fax

(626) 335-1487

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Paramjit Kaur RandhawaNPI 1699781559

Title

President/Ceo

Phone

(626) 335-0288

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GLENDORA MEDICAL PHARMACY Doing business as

Locations

Practitioners 1

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

• Paramjit Kaur Randhawa, BSC

  • Pharmacist
  • Glendora, CA
  • NPI 1699781559
  NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1376553297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66 STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406250",
            "telephone_number": "626-335-0288",
            "fax_number": "626-335-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66 STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406250",
            "telephone_number": "626-335-0288",
            "fax_number": "626-335-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HP BADESHA CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "PARAMJIT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-335-0288",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "PHY47517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA475170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996062",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENDORA MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Glendora, CA
• Providers in Glendora, 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 Oct 30, 2020; 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.