Active NPI
Medcare Services Inc
- Community/Retail Pharmacy
- Glendale, CA
National Provider Identifier
1912004755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY44178
- Legal business name
- MEDCARE SERVICES INC
- Doing business as
- WELL CARE PHARMACY
- Practice address
- 1108 1/2 W Glenoaks Blvd
Glendale, CA 91202-2606 - Phone
- (818) 551-0102
- Fax
- (818) 551-0106
- NPI assigned
- Sep 20, 2006
- 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
- Minas Bambalyan
- Title
- President/Ceo
- Phone
- (818) 551-0102
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY44178 | CA | Primary |
Addresses
Primary practice location
1108 1/2 W Glenoaks Blvd
Glendale, CA 91202-2606
Mailing address
1108 1/2 W Glenoaks Blvd
Glendale, CA 91202-2606
Phone (818) 551-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY61422 | Other | CA | BOP |
Other names 1
- WELL CARE 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 |
|---|---|---|---|---|
| O20140812001884 | CA | DME Supplier - Pharmacy | 2466679667 | Practice locations: Glendale, CA |
| O20221005002157 | CA | Part B Supplier - Pharmacy | 2466679667 | Practice locations: Glendale, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Well Care Pharmacy | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Surgical Dressin… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1108 W Glenoaks Blvd
#1-2
Glendale, CA 91202
Phone (818) 551-0102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1912004755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 1/2 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022606",
"telephone_number": "818-551-0102",
"fax_number": "818-551-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 1/2 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022606",
"telephone_number": "818-551-0102",
"fax_number": "818-551-0106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "BAMBALYAN",
"authorized_official_first_name": "MINAS",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-551-0102"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY44178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP",
"identifier": "PHY61422",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WELL CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WELL CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.