Clevis Management Corp.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CLEVIS MANAGEMENT CORP.

Doing business as

Healthcom Pharmacy

Practice address

1648 Tyler Ave
Suite F
S El Monte, CA 91733-3440

Phone

(626) 350-1300

Fax

(626) 350-1306

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Scott Ishikawa

Title

Business Manager

Phone

(323) 261-5866

Specialties & licenses 1

Addresses

Other names 1

• Healthcom Pharmacy Doing business as

Tax ID family

Clevis Management Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Clevis Management Corp

  • Specialty Pharmacy
  • Norwalk, CA
  • NPI 1669887378
  NPD tax ID

Locations

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1649683749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13181 CROSSROADS PKWY N.",
            "address_2": "SUITE 200",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463451",
            "telephone_number": "323-261-5866",
            "fax_number": "626-739-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 TYLER AVE",
            "address_2": "SUITE F",
            "city": "S EL MONTE",
            "state": "CA",
            "postal_code": "917333440",
            "telephone_number": "626-350-1300",
            "fax_number": "626-350-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVIS MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "ISHIKAWA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "323-261-5866"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcom Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Canoga Pharmacy,Inc
• Naomi C Chao, PH.D.
• Kyung Hye Choi, D.D.S.
• Wendy Hon Chow, D.C.
• Esa Saar Inc Barrons Pharmacy
• Jose Eduardo Estrada
• Elizabeth Molina Gutierrez, LCSW
• Cammy Han-Young, PHARM.D
• Htwe Htwe, D.D.S

• Community/Retail Pharmacy in S El Monte, CA
• Providers in S El Monte, 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 10, 2015; 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.