Organization Active NPI

Merced Medical Pharmacy Inc

  • Community/Retail Pharmacy
  • West Covina, CA
National Provider Identifier
1740365030
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERCED MEDICAL PHARMACY INC
Practice address
1515 W Merced Ave
West Covina, CA 91790-3403
Phone
(626) 962-3685
Fax
(626) 962-3515
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
George Furuta
Title
President
Phone
(626) 962-3685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY19902 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1515 W Merced Ave
West Covina, CA 91790-3403

Mailing address

1515 W Merced Ave
West Covina, CA 91790-3403

Other identifiers 2

IdentifierTypeStateIssuer
PHA199020MedicaidCA
0507270OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MERCED MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1740365030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903403",
            "telephone_number": "626-962-3685",
            "fax_number": "626-962-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FURUTA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-962-3685"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY19902",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA199020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0507270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCED MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.