Molino Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY54954 Issued in CA

Legal business name

MOLINO PHARMACY INC

Doing business as

Molino Pharmacy

Practice address

2540 E Anaheim St # B
Long Beach, CA 90804-3607

Phone

(562) 433-4900

Fax

(562) 433-7050

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Andrew QuachNPI 1790018992

Title

Ceo/Pharmacy Manager

Phone

(562) 433-4900

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Molino Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Meng-Hong Quach, PHARM.D.

  • Pharmacist
  • Arcadia, CA
  • NPI 1790018992
  NPD (past) Authorized official

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1952843559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082220",
            "telephone_number": "562-433-4900",
            "fax_number": "562-433-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 E ANAHEIM ST # B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043607",
            "telephone_number": "562-433-4900",
            "fax_number": "562-433-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO/PHARMACY MANAGER",
        "authorized_official_telephone_number": "562-433-4900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY54954",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166186",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molino Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Daniela Molina
• Joseph M Molina, M.D.
• Marlyn Cristina Molina
• Mary Martha Molina, M.D.
• Roger Molina
• Johana Mollinedo
• Rafat Momensafaii, REHS
• Linda R Mona, PH.D.
• Sue Monarrez
• Kristina Mae Moncrieffe

• Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.