Active NPI
CNC Pharmacy Inc
- Pharmacy
- Pasadena, CA
National Provider Identifier
1750634192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY51082
- Legal business name
- CNC PHARMACY INC
- Practice address
- 65 N Madison Ave
Pasadena, CA 91101 - Phone
- (626) 578-9991
- Fax
- (626) 578-9992
- NPI assigned
- Oct 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Chhek
- Title
- Ceo
- Phone
- (626) 578-9991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY51082 | CA | Primary |
Addresses
Primary practice location
65 N Madison Ave
Pasadena, CA 91101
Mailing address
65 N Madison Ave
Pasadena, CA 91101
Phone (626) 578-9991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750634192 | Medicaid | CA | |
| 2137691 | Other | PK |
Other names 1
- Exclusive Medical Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160822002737 | CA | DME Supplier - Pharmacy | 1850686494 | Practice locations: Pasadena, CA |
| O20210409001072 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850686494 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Covina, CA; El Monte, CA; Pasadena, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- CNC Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- El Monte, CA
- NPI 1417405150
-
- Community/Retail Pharmacy
- Covina, CA
- NPI 1922467901
Locations
65 N Madison Ave
Ste 100
Pasadena, CA 91101
Phone (626) 578-9991
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Pasadena, CA
- NPI 1649092552
-
- Pharmacist
- El Monte, CA
- NPI 1689260093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1750634192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N MADISON AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "91101",
"telephone_number": "626-578-9991",
"fax_number": "626-578-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N MADISON AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "91101",
"telephone_number": "626-578-9991",
"fax_number": "626-578-9992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CNC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-23",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "CHHEK",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-578-9991"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY51082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750634192",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2137691",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Exclusive Medical Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Exclusive Medical Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.