Organization Active NPI

SJC Management & Consulting Corp

  • Long Term Care Pharmacy
  • Pomona, CA
National Provider Identifier
1770575128
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY53435 Issued in CA
Legal business name
SJC MANAGEMENT & CONSULTING CORP
Practice address
3038 W Temple Ave
Pomona, CA 91766-6816
Phone
(909) 868-7363
Fax
(909) 629-1565
NPI assigned
Aug 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. William Scott Evans, PHARMDNPI 1134794357
Title
President/Ceo
Phone
(909) 868-7363

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)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PHY53435 CA Primary

Addresses

Primary practice location

3038 W Temple Ave
Pomona, CA 91766-6816

Mailing address

3038 W Temple Ave
Pomona, CA 91766-6816
Phone (909) 868-7363

Other names 1

  • Phillips Ranch Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100831000712 CA Part B Supplier - Mass Immunization (Roster Biller Only) 6507980398 Practice locations: Pomona, CA
O20100930019747 CA DME Supplier - Pharmacy 6507980398 Practice locations: Pomona, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Phillips Ranch Pharmacy3038 W Temple Ave, Pomona, CA 91766-6816(909) 868-7363 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Insulin Inf… Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
Phillips Ranch Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8 Village Loop Rd
#A
Pomona, CA 91766
Phone (909) 868-7363

3038 W Temple Ave
Pomona, CA 91766
Phone (909) 868-7363

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1770575128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3038 W TEMPLE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917666816",
            "telephone_number": "909-868-7363",
            "fax_number": "909-629-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3038 W TEMPLE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917666816",
            "telephone_number": "909-868-7363",
            "fax_number": "909-629-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJC MANAGEMENT & CONSULTING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-21",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-868-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY53435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Ranch Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phillips Ranch Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.