Active NPI
Medicine Made Easy
- Pharmacy
- Gardena, CA
National Provider Identifier
1578521845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY 50170
- Legal business name
- MEDICINE MADE EASY
- Doing business as
- MOMS Pharmacy
- Practice address
- 19300 S Hamilton Ave
Suite 170 & 180
Gardena, CA 90248-4400 - Phone
- (310) 972-2999
- Fax
- (310) 972-2995
- NPI assigned
- May 3, 2006
- 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
- Russell J. Fichera
- Title
- Senior Vice President and Treasurer
- Phone
- (508) 297-1018
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY 50170 | CA | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
19300 S Hamilton Ave
Suite 170 & 180
Gardena, CA 90248-4400
Mailing address
19300 S Hamilton Ave
Suite 170 & 180
Gardena, CA 90248-4400
Phone (310) 972-2999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5622661 | Other | NCPDP | |
| PHA 50170 | Medicaid | CA | |
| PHY 50170 | Other | CA | STATE LICENSE |
Other names 1
- MOMS Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1578521845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19300 S HAMILTON AVE",
"address_2": "SUITE 170 & 180",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484400",
"telephone_number": "310-972-2999",
"fax_number": "310-972-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 S HAMILTON AVE",
"address_2": "SUITE 170 & 180",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484400",
"telephone_number": "310-972-2999",
"fax_number": "310-972-2995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE MADE EASY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "FICHERA",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND TREASURER",
"authorized_official_telephone_number": "508-297-1018"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY 50170",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5622661",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA 50170",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PHY 50170",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOMS Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.