Active NPI
Your Pharmacy, LLC
Doing business as Beaumont Pharmacy LTC
- Long Term Care Pharmacy
- Beaumont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- YOUR PHARMACY, LLC
- Doing business as
- Beaumont Pharmacy LTC
- Practice address
- 835 Highland Springs Ave Ste 110
Beaumont, CA 92223-5771 - Phone
- (951) 845-8252
- Fax
- (951) 845-6525
- NPI assigned
- Feb 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Imadeddin Karaze, RPH
- Title
- Owner/Pic
- Phone
- (951) 845-8252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
835 Highland Springs Ave Ste 110
Beaumont, CA 92223-5771
Mailing address
835 Highland Springs Ave Ste 110
Beaumont, CA 92223-5771
Phone (951) 845-8252
Other names 1
- Beaumont Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Beaumont Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
835 Highland Springs Ave
Ste 110
Beaumont, CA 92223
Phone (951) 845-8252
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Beaumont, CA
- NPI 1104269752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1477250520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 HIGHLAND SPRINGS AVE STE 110",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922235771",
"telephone_number": "951-845-8252",
"fax_number": "951-845-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 HIGHLAND SPRINGS AVE STE 110",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922235771",
"telephone_number": "951-845-8252",
"fax_number": "951-845-6525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-09",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "KARAZE",
"authorized_official_first_name": "IMADEDDIN",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "951-845-8252",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beaumont Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Beaumont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.