Athena Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ATHENA PHARMACY INC

Doing business as

986 Pharmacy #8015

Practice address

14332 Ramona Blvd.
Baldwin Park, CA 91706-3241

Phone

(626) 337-1510

Fax

(626) 337-1540

NPI assigned

Dec 16, 2006

Last updated

Aug 22, 2023By 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

Olivia T Martinez

Title

Ceo

Phone

(626) 337-1510

Specialties & licenses 2

Addresses

Other names 1

• 986 Pharmacy #8015 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Harold Hua

  • Pharmacist
  • Alhambra, CA
  • NPI 1295631463
  NPD (past)

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1609938331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14332 RAMONA BLVD.",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-337-1510",
            "fax_number": "626-337-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14332 RAMONA BLVD.",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-337-1510",
            "fax_number": "626-337-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-16",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-337-1510"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8015",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arzu Dental Corporation
• Biniam Asmerom
• Armin Ataee
• Milani Lita Atanante, SLP-A
• Samia Gerets Ateia, MD
• Linda M. Atkinson, MD
• Rao Lakshmana Atluri, MD MEDICO GENERALIST
• Syama P Atluri, M.D.
• Kim Auduong, NP
• John H. Austin, MD

• Community/Retail Pharmacy in Baldwin Park, CA
• Providers in Baldwin Park, 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 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.