Organization Active NPI

Aghapy Pharmacy Inc

Doing business as MedPro Pharmacy

  • Community/Retail Pharmacy
  • Hemet, CA
National Provider Identifier
1871021931
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55262 Issued in CA
Legal business name
AGHAPY PHARMACY INC
Doing business as
MedPro Pharmacy
Practice address
3853 W Stetson Ave Ste 103
Hemet, CA 92545-9675
Phone
(951) 809-1557
NPI assigned
Jun 1, 2017
Last updated
Mar 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Osama BishayNPI 1003135153
Title
Owner
Phone
(951) 809-1557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY55262 CA Primary

Addresses

Primary practice location

3853 W Stetson Ave Ste 103
Hemet, CA 92545-9675

Mailing address

3853 W Stetson Ave Ste 103
Hemet, CA 92545-9675
Phone (951) 809-1557

Other names 1

  • MedPro Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409002173 CA Part B Supplier - Pharmacy 9335557404 Practice locations: Hemet, CA

National Provider Directory

National Provider Directory

Locations

3853 W Stetson Ave
Ste 103
Hemet, CA 92545
Phone (951) 652-6300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1871021931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 W STETSON AVE STE 103",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459675",
            "telephone_number": "951-809-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 W STETSON AVE STE 103",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925459675",
            "telephone_number": "951-809-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHAPY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "BISHAY",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-809-1557"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPro Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.

Verify at the official NPI Registry.