Active NPI
Grace Healthcare Solutions Inc
Doing business as San Dimas Pharmacy
- Community/Retail Pharmacy
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GRACE HEALTHCARE SOLUTIONS INC
- Doing business as
- San Dimas Pharmacy
- Practice address
- 1330 W Covina Blvd Ste 100
San Dimas, CA 91773-3200 - Phone
- (909) 599-8369
- Fax
- (909) 599-8360
- NPI assigned
- Jun 18, 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
- Ms. Shih-Ping Chen, PHARM D
- Title
- President/Ceo
- Phone
- (909) 599-8369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1330 W Covina Blvd Ste 100
San Dimas, CA 91773-3200
Mailing address
1330 W Covina Blvd
Ste 100
San Dimas, CA 91773
Phone (909) 599-8369
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649215179 | Medicaid | CA | |
| PHY57952 | Other | CA | BOARD OF PHARMACY |
Other names 1
- San Dimas Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210208001491 | CA | DME Supplier - Pharmacy | 9032523824 | Practice locations: San Dimas, CA |
| O20210604001544 | CA | Part B Supplier - Pharmacy | 9032523824 | Practice locations: San Dimas, CA |
| O20240516003971 | CA | Part B Supplier - Independent Clinical Laboratory | 9032523824 | Practice locations: San Dimas, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2300198 | San Dimas Pharmacy | Certificate of waiver | Mar 4, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| San Dimas Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1330 W Covina Blvd
Ste 100
San Dimas, CA 91773
Phone (909) 599-8369
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Dimas, CA
- NPI 1013597228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644796800000",
"number": "1649215179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 W COVINA BLVD",
"address_2": "STE 100",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "91773",
"telephone_number": "909-599-8369",
"fax_number": "909-599-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 W COVINA BLVD STE 100",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733200",
"telephone_number": "909-599-8369",
"fax_number": "909-599-8360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE HEALTHCARE SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "SHIH-PING",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "909-599-8369",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649215179",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY57952",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "San Dimas Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.