Active NPI
Empire Infusion Pharmacy Inc
- Community/Retail Pharmacy
- Riverside, CA
National Provider Identifier
1629613260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- EMPIRE INFUSION PHARMACY INC
- Doing business as
- Empire Infusion Pharmacy
- Practice address
- 2025 Chicago Ave
Unit A3
Riverside, CA 92507-2315 - Phone
- (951) 777-1363
- Fax
- (951) 444-9577
- NPI assigned
- Nov 7, 2019
- 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
- Manuel Montoya
- Title
- Owner
- Phone
- (951) 777-1363
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
2025 Chicago Ave
Unit A3
Riverside, CA 92507-2315
Mailing address
2025 Chicago Ave
Unit A3
Riverside, CA 92507-2315
Phone (951) 777-1363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7996760001 | Other | MEDICARE DME PTAN |
Other names 1
- Empire Infusion Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Ace 4Q Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Anaheim, CA
- NPI 1295441533
-
- Long Term Care Pharmacy
- Santa Ana, CA
- NPI 1972313351
Locations
2025 Chicago Ave
Ste A3
Riverside, CA 92507
Phone (951) 777-1363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1629613260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 CHICAGO AVE",
"address_2": "UNIT A3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072315",
"telephone_number": "951-777-1363",
"fax_number": "951-444-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 CHICAGO AVE",
"address_2": "UNIT A3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072315",
"telephone_number": "951-777-1363",
"fax_number": "951-444-9577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE INFUSION PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-07",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A",
"authorized_official_last_name": "MONTOYA",
"authorized_official_first_name": "MANUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-777-1363"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME PTAN",
"identifier": "7996760001",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Empire Infusion Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.