Organization Active NPI

Qualicare

  • Long Term Care Pharmacy
  • Rancho Cucamonga, CA
National Provider Identifier
1548466410
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
48361 Issued in CA
Legal business name
QUALICARE
Practice address
9613 Arrow Rte Ste K BLDG 3
Rancho Cucamonga, CA 91730-4552
Phone
(909) 484-2300
Fax
(909) 484-2332
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marlyn ManiaolNPI 1215138722
Title
Pic
Phone
(909) 484-2300

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)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 48361 CA Primary

Addresses

Primary practice location

9613 Arrow Rte Ste K BLDG 3
Rancho Cucamonga, CA 91730-4552

Mailing address

9613 Arrow Rte Ste K BLDG 3
Rancho Cucamonga, CA 91730-4552
Phone (909) 484-2300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548466410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE STE K BLDG 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "909-484-2300",
            "fax_number": "909-484-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE STE K BLDG 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "909-484-2300",
            "fax_number": "909-484-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALICARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANIAOL",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "909-484-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "48361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.