Cantwell Medical Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY32531 Issued in CA

Legal business name

CANTWELL MEDICAL PHARMACY INC

Doing business as

CANTWELL MEDICAL PHARMACY INC

Practice address

931 Buena Vista St
Ste 104
Duarte, CA 91010-1712

Phone

(626) 357-9959

Fax

(626) 305-6608

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Aric Honda

Title

Owner Phcst

Phone

(626) 357-9959

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CANTWELL MEDICAL PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1609945559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "STE 104",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-357-9959",
            "fax_number": "626-305-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST",
            "address_2": "STE 104",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101712",
            "telephone_number": "626-357-9959",
            "fax_number": "626-305-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTWELL MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "HONDA",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "626-357-9959"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY32531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0574360",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA325310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANTWELL MEDICAL PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California School of the Arts-San Gabriel Valley
• Jacqueline Alejandra Caloca
• Alyssa Canada, LCSW
• Marissa Cangin, PSYD
• David Eduardo Cantu Duran, M.D.
• Alexandra Capasso, MS
• German L Caraang, N.P.
• Emma Giselle Carbajal, LMFT
• Natalie Lynn Carbunaru, RN, NP
• Vivian Stephanie Cardona Gonzalez, B.A.

• Community/Retail Pharmacy in Duarte, CA
• Providers in Duarte, 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 Mar 7, 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.