Organization Active NPI

Michael S Pharmacy Inc

  • Community/Retail Pharmacy
  • Pasadena, CA
National Provider Identifier
1437281581
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY47549 Issued in CA
Legal business name
MICHAEL S PHARMACY INC
Practice address
960 E Green St
Ste 152
Pasadena, CA 91106-2411
Phone
(626) 793-7131
Fax
(626) 793-8602
NPI assigned
Mar 12, 2007
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Natalya Skye, PHARMD
Title
Owner
Phone
(626) 793-7131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Community/Retail Pharmacy 3336C0003X PHY47549 CA Primary

Addresses

Primary practice location

960 E Green St
Ste 152
Pasadena, CA 91106-2411

Mailing address

960 E Green St
Ste 152
Pasadena, CA 91106-2411
Phone (626) 793-7131

Other identifiers 1

IdentifierTypeStateIssuer
PHA47549MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1437281581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "STE 152",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062411",
            "telephone_number": "626-793-7131",
            "fax_number": "626-793-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "STE 152",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062411",
            "telephone_number": "626-793-7131",
            "fax_number": "626-793-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "SKYE",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-793-7131",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA47549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.