Enkeli Pharmacy Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54663 Issued in CA

Legal business name

ENKELI PHARMACY GROUP INC

Practice address

2392 University Ave
Riverside, CA 92507-4266

Phone

(951) 289-9916

Fax

(888) 757-3815

NPI assigned

Jan 10, 2017

Organization subpart

No

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

Authorized official

Name

Kejing GuoNPI 1487930376

Title

Ceo

Phone

(951) 289-9916

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Kejing Guo

  • Pharmacist
  • Riverside, CA
  • NPI 1487930376
  NPD Authorized official
• Juan Chen

  • Pharmacist
  • Riverside, CA
  • NPI 1124599063
  NPD (past)

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1700322013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074266",
            "telephone_number": "951-289-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2392 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074266",
            "telephone_number": "951-289-9916",
            "fax_number": "888-757-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENKELI PHARMACY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "KEJING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-289-9916"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167209",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silvia Noemi Engstrom
• Cian Jan Enguillado
• Engy Halim DDS Inc
• Enhance Healthcare Medical Supply
• Renata Enikeeva
• Joseph Ennesser, PHARMD.
• Fhelycia M Ennin
• Yuliawati Enomoto
• Nancy Enriquez Esquivel
• Arlene Enriquez-Rizo, BA

• Community/Retail Pharmacy in Riverside, CA
• Providers in Riverside, 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 23, 2019; 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.