Security Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SECURITY PHARMACY, INC

Practice address

954 W Foothill Blvd Ste 6D
Upland, CA 91786-3782

Phone

(909) 608-1832

Fax

(909) 608-1871

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Isami Igarashi, PHARM.D.NPI 1093466450

Title

Owner

Phone

(909) 608-1832

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Upland Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Isami Igarashi, PHARMD

  • Pharmacist
  • Upland, CA
  • NPI 1093466450
  NPD Authorized official
• Amy Thu Le

  • Pharmacist
  • Redlands, CA
  • NPI 1396401303
  NPD
• Annie Chan, PHARMD

  • Pharmacist
  • Upland, CA
  • NPI 1194422659
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725148800000",
    "number": "1679640924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 W FOOTHILL BLVD STE 6D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863782",
            "telephone_number": "909-608-1832",
            "fax_number": "909-608-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W FOOTHILL BLVD STE 6D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863782",
            "telephone_number": "909-608-1832",
            "fax_number": "909-608-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURITY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-09-01",
        "certification_date": "2024-08-31",
        "status": "A",
        "authorized_official_last_name": "IGARASHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ISAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-608-1832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA445360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marni Scivoletti-Castillo
• Anthony Rashaun Scott
• Diane Scott
• Mohamed Bassam Sebai, M.D.
• Ti-Twan Sebala
• Inderjit Singh Seehrai, MD
• Erika Segura
• Michael Segura
• Sela Healthcare Inc
• Select CS Physical Therapy, P.C.

• Community/Retail Pharmacy in Upland, CA
• Providers in Upland, 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 Sep 1, 2024; 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.