Alternative Therapies Phcy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40981 Issued in CA

Legal business name

ALTERNATIVE THERAPIES PHCY INC

Practice address

2523 E Washington Blvd
Pasadena, CA 91104-2044

Phone

(626) 791-7600

Fax

(626) 791-9165

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Sorin Kazangian, RPH

Title

Pic

Phone

(626) 791-7600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PHOENIX PHARMACY Doing business as

Locations

Practitioners 2

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

• Timothy N. Chrisney, PHARMD

  • Pharmacist
  • Pasadena, CA
  • NPI 1366449514
  NPD (past)
• Andre B Harnanto, PHARMD

  • Pharmacist
  • Pasadena, CA
  • NPI 1881794246
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1386689602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042044",
            "telephone_number": "626-791-7600",
            "fax_number": "626-791-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042044",
            "telephone_number": "626-791-7600",
            "fax_number": "626-791-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE THERAPIES PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "KAZANGIAN",
        "authorized_official_first_name": "SORIN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "626-791-7600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA409810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991436",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOENIX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 13, 2015; 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.