Organization Active NPI

New 1 Pharmacy Inc

Doing business as Nogales Medical Pharmacy

  • Community/Retail Pharmacy
  • West Covina, CA
National Provider Identifier
1477700649
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
49066 Issued in CA
Legal business name
NEW 1 PHARMACY INC
Doing business as
Nogales Medical Pharmacy
Practice address
2707 E Valley Blvd
Unit 100
West Covina, CA 91792-3195
Phone
(626) 965-9727
Fax
(626) 965-1661
NPI assigned
Aug 19, 2008
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Grace Changchien
Title
Phcy Owner
Phone
(626) 307-5517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 49066 CA Primary

Addresses

Primary practice location

2707 E Valley Blvd
Unit 100
West Covina, CA 91792-3195

Mailing address

808 E Valley Blvd
San Gabriel, CA 91776-3607
Phone (626) 307-5517

Other identifiers 1

IdentifierTypeStateIssuer
5632129OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Nogales Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2707 E Valley Blvd
Ste 100
West Covina, CA 91792
Phone (626) 960-4723

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1477700649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763607",
            "telephone_number": "626-307-5517",
            "fax_number": "626-307-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "UNIT 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923195",
            "telephone_number": "626-965-9727",
            "fax_number": "626-965-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW 1 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "CHANGCHIEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PHCY OWNER",
        "authorized_official_telephone_number": "626-307-5517"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "49066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5632129",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nogales Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.