Pharm90, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARM90, LLC

Practice address

1800 Monument Blvd Ste L
Concord, CA 94520-3871

Phone

(925) 490-1240

Fax

(925) 490-1242

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Elisangela Engelman

Title

Owner

Phone

(925) 281-0830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marian Naseef

  • Pharmacist
  • Concord, CA
  • NPI 1144856253
  NPD

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1700385648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MONUMENT BLVD STE L",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945203871",
            "telephone_number": "925-281-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MONUMENT BLVD STE L",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945203871",
            "telephone_number": "925-490-1240",
            "fax_number": "925-490-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM90, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "ENGELMAN",
        "authorized_official_first_name": "ELISANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-281-0830"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Phan, OTD, OTR/L
• Steven Phan
• Thuy Phan
• Winneka Phann
• Ekkaphot Phanthong
• Molly Phelan
• Sherese Phelps
• Luke Philipos
• Monyea Rose Philippides
• Andrew M Phillips

• Community/Retail Pharmacy in Concord, CA
• Providers in Concord, 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 Aug 14, 2020; 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.