Covina Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY31167 Issued in CA

Legal business name

COVINA PHARMACY INC

Doing business as

Covina Pharmacy

Practice address

174 W Badillo St
Covina, CA 91723-2015

Phone

(626) 915-6615

Fax

(626) 339-6357

NPI assigned

Jan 8, 2007

Last updated

Aug 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virginia Chang

Title

PHRM

Phone

(626) 915-6615

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COVINA PHARMACY Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1518015510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232015",
            "telephone_number": "626-915-6615",
            "fax_number": "626-339-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232015",
            "telephone_number": "626-915-6615",
            "fax_number": "626-339-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "PHRM",
        "authorized_official_telephone_number": "626-915-6615"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY31167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA311670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0582557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVINA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Covina Eyecare Optometry Inc (Edwin Wu, O.D.)
• Covina Eyecare Optometry Inc. (Raymond Wu, O.D.)
• Covina Healthcare Inc (Rite Care Pharmacy)
• Covina Hearing Aid Center, Inc
• Covina Medical Supply Inc
• Covina Surgery Center, LLC
• Covina Surgery Center, LLC
• Covina-Valley Unified School District
• Angie Craig, RN
• Creative Dental Arts, Inc.

• Community/Retail Pharmacy in Covina, CA
• Providers in Covina, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.