Organization Active NPI

Empire Infusion Pharmacy Inc

  • Community/Retail Pharmacy
  • Riverside, CA
National Provider Identifier
1629613260
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 28, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7996760001OtherMEDICARE DME PTAN

Other names 1

  • Empire Infusion Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ace 4Q Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.