Organization Active NPI

Golden Elite Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Alhambra, CA
National Provider Identifier
1689736969
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
41642 Issued in CA
Legal business name
GOLDEN ELITE PHARMACY, INC.
Practice address
2048 Pepper St
Alhambra, CA 91801
Phone
(626) 576-2418
Fax
(626) 576-5804
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Mrs. Rosario R Quinio
Title
Pharmacy Manager
Phone
(626) 576-2418

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 32301 CA
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Mental Illness Intermediate Care Facility 310500000X
Nursing Facility/Intermediate Care Facility 313M00000X
Intellectual Disabilities Intermediate Care Facility 315P00000X
Long Term Care Pharmacy 3336L0003X 41642 CA Primary

Addresses

Primary practice location

2048 Pepper St
Alhambra, CA 91801

Mailing address

2048 Pepper St
Alhambra, CA 91801-3162
Phone (626) 576-2418

Other identifiers 1

IdentifierTypeStateIssuer
PHA416420MedicaidCA

National Provider Directory

National Provider Directory

Locations

2048 Pepper St
Alhambra, CA 91801
Phone (626) 576-2418

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1689736969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 PEPPER ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013162",
            "telephone_number": "626-576-2418",
            "fax_number": "626-576-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 PEPPER ST",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-576-2418",
            "fax_number": "626-576-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ELITE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "QUINIO",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "626-576-2418",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "32301",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "41642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA416420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.