Organization Active NPI

Galen RX Pharmacy Inc

Doing business as Galen RX Pharmacy

  • Community/Retail Pharmacy
  • Montrose, CA
National Provider Identifier
1508412057
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GALEN RX PHARMACY INC
Doing business as
Galen RX Pharmacy
Practice address
4111 Ocean View Blvd
Montrose, CA 91020-1518
Phone
(818) 696-8585
Fax
(818) 297-0566
NPI assigned
Aug 12, 2019
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Anna Cunningham
Title
Owner
Phone
(818) 696-8585

Specialties & licenses 1

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

Addresses

Primary practice location

4111 Ocean View Blvd
Montrose, CA 91020-1518

Mailing address

4111 Ocean View Blvd
Montrose, CA 91020-1518
Phone (818) 696-8585

Other names 1

  • GALEN RX PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201218001667 CA Part B Supplier - Pharmacy 6305258146 Practice locations: Montrose, CA

National Provider Directory

National Provider Directory

Locations

4111 Ocean View Blvd
Montrose, CA 91020
Phone (818) 696-8585

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": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1508412057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 OCEAN VIEW BLVD",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201518",
            "telephone_number": "818-696-8585",
            "fax_number": "818-297-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 OCEAN VIEW BLVD",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201518",
            "telephone_number": "818-696-8585",
            "fax_number": "818-297-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALEN RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-696-8585"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALEN RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.