Eliana Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELIANA PHARMACY INC

Doing business as

ST Mary Pharmacy

Practice address

13641 Central Ave Ste E
Chino, CA 91710-5133

Phone

(714) 541-8150

Fax

(714) 442-8370

NPI assigned

Sep 19, 2009

Last updated

Jan 30, 2025By 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

Ramy Massoud

Title

Ceo

Phone

(562) 708-6863

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ST Mary Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• James Y Gee, PHARM D

  • Pharmacist
  • Orange, CA
  • NPI 1720412349
  NPD (past)

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

{
    "created_epoch": "1253318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1649504911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13877 HOLLYWOOD AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808822",
            "telephone_number": "714-541-8150",
            "fax_number": "714-442-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13641 CENTRAL AVE STE E",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105133",
            "telephone_number": "714-541-8150",
            "fax_number": "714-442-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIANA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-19",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "MASSOUD",
        "authorized_official_first_name": "RAMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-708-6863"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY60481",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER INDENTIFICATION",
            "identifier": "5636064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST Mary Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ieasha Denise Edwards, MA
• Sheridan Lane Edwards, M.S. CCC-SLP
• Veronica Eger
• El Serreno Group Homes (Walnut House)
• Adam Elevario, PA-C
• Jade Kenzie Elis
• Elite Fertility Center (Elite Reproductive Health Centers)
• Michelle Elway, D.O.
• Emerald Corporation (St Martin Home Healthcare)
• Emerald Corporation (St. Martin Home Health Care)

• Community/Retail Pharmacy in Chino, CA
• Providers in Chino, 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 Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.