Clevis Management Corp

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

CLEVIS MANAGEMENT CORP

Practice address

11818 Rosecrans Ave
Suite a
Norwalk, CA 90650-4125

Phone

(323) 261-5866

Fax

(626) 739-3048

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Joshua Ly

Title

Ceo

Phone

(323) 261-5866

Specialties & licenses 1

Addresses

Other names 1

• Healhtcom Specialty 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.

  • Community/Retail Pharmacy
  • S El Monte, CA
  • NPI 1649683749
  NPD tax ID

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1669887378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13181 CROSSROADS PKWY N STE 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": "11818 ROSECRANS AVE",
            "address_2": "SUITE A",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504125",
            "telephone_number": "323-261-5866",
            "fax_number": "626-739-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVIS MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-261-5866"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healhtcom Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher P. Ciampa, O.D.
• Grace Angela Cifuentes Sanchez
• Circle of Help Foundation
• Tierra Clay
• Dwyane Joseph Clements I
• Shannon K Clifton, MSW
• Clinica Medica San Pedro of California, Inc
• Sheree Shen Cloer, D.O.
• Alyssa Cloward
• Coast Plaza Doctors Hospital

• Specialty Pharmacy in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.