Active NPI
Enass Fouad Megalla
- Pharmacist
- Covina, CA
National Provider Identifier
1912525783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 92018
- Practice address
- 150 S Grand Ave
Covina, CA 91724-3236 - Phone
- (626) 966-8497
- Fax
- (626) 966-3161
- NPI assigned
- Jul 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 92018 | CA | Primary |
Addresses
Primary practice location
150 S Grand Ave
Covina, CA 91724-3236
Mailing address
150 S Grand Ave
Covina, CA 91724-3236
Phone (626) 966-8497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92018 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1912525783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917243236",
"telephone_number": "626-966-8497",
"fax_number": "626-966-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917243236",
"telephone_number": "626-966-8497",
"fax_number": "626-966-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGALLA",
"first_name": "ENASS",
"middle_name": "FOUAD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "92018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.