Active NPI
CNC Pharmacy Inc
Doing business as CNC Rose Pharmacy
- Community/Retail Pharmacy
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY53895
- Legal business name
- CNC PHARMACY INC
- Doing business as
- CNC Rose Pharmacy
- Practice address
- 420 W Rowland St
Covina, CA 91723-2943 - Phone
- (626) 966-9888
- Fax
- (626) 966-1879
- NPI assigned
- Feb 18, 2016
- Last updated
- Mar 18, 2022
- 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
- Rachel Chhek
- Title
- Owner
- Phone
- (626) 241-0926
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY53895 | CA | Primary |
Addresses
Primary practice location
420 W Rowland St
Covina, CA 91723-2943
Mailing address
PO Box 660008
Arcadia, CA 91066-0008
Phone (626) 966-9888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157878 | Other | PK | |
| 1033202460 | Medicaid | CA |
Other names 1
- CNC Rose Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210409001072 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850686494 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Covina, CA; El Monte, CA; Pasadena, CA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Exclusive Medical Pharmacy
- Pharmacy
- Pasadena, CA
- NPI 1750634192
O20210409001072
National Provider Directory
National Provider Directory- Tax ID family
- CNC Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
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.
-
- Pharmacist
- Pasadena, CA
- NPI 1649092552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647561600000",
"number": "1922467901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660008",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910660008",
"telephone_number": "626-966-9888",
"fax_number": "626-966-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W ROWLAND ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232943",
"telephone_number": "626-966-9888",
"fax_number": "626-966-1879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CNC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A",
"authorized_official_last_name": "CHHEK",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-241-0926"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY53895",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2157878",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033202460",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CNC Rose Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CNC Rose Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}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 Mar 18, 2022; 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.