986 Specialty Pharmacy Pasadena Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

986 SPECIALTY PHARMACY PASADENA INC

Practice address

1719 E Walnut St
Pasadena, CA 91106-1611

Phone

(626) 798-6789

Fax

(626) 798-8376

NPI assigned

Aug 5, 2020

Organization subpart

No

Name

Simon Chan

Title

VP

Phone

(626) 798-6789

Tax ID family

986 Specialty Pharmacy Pasadena Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 986 Specialty Pharmacy Pasadena Inc

  • Specialty Pharmacy
  • Pasadena, CA
  • NPI 1972244747
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2021.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1770193641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "626-798-6789",
            "fax_number": "626-798-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061611",
            "telephone_number": "626-798-6789",
            "fax_number": "626-798-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "986 SPECIALTY PHARMACY PASADENA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "626-798-6789"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pasadena, CA
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.