Active NPI
New 1 Pharmacy Inc
Doing business as Nogales Medical Pharmacy
- Community/Retail Pharmacy
- West Covina, CA
National Provider Identifier
1477700649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 49066
- 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, 2013
- 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
- Grace Changchien
- Title
- Phcy Owner
- Phone
- (626) 307-5517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632129 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Nogales Medical Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- San Gabriel, CA
- NPI 1871630343
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.