Organization Active NPI

Medcare Services Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1912004755
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44178 Issued in CA
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

Updated by the provider on May 6, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY61422OtherCABOP

Other names 1

  • WELL CARE 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
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 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
Well Care Pharmacy1108 1/2 W Glenoaks Blvd, Glendale, CA 91202-2606(818) 551-0102 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 assignmentParticipating since Jun 19, 2014

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.