Organization Active NPI

Medcare Pharmacy and Medical Supply, Inc.

  • Community/Retail Pharmacy
  • Arcadia, CA
National Provider Identifier
1962065706
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDCARE PHARMACY AND MEDICAL SUPPLY, INC.
Practice address
289 W Huntington Dr Ste 101
Arcadia, CA 91007-3492
Phone
(626) 623-6171
Fax
(888) 258-1303
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Mr. Edwin Haratonians
Title
Ceo
Phone
(626) 623-6171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

289 W Huntington Dr Ste 101
Arcadia, CA 91007-3492

Mailing address

289 W Huntington Dr Ste 101
Arcadia, CA 91007-3492
Phone (626) 623-6179

National Provider Directory

National Provider Directory

Locations

289 W Huntington Dr
Ste 101
Arcadia, CA 91007
Phone (626) 348-8553

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1962065706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073492",
            "telephone_number": "626-623-6179",
            "fax_number": "888-258-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073492",
            "telephone_number": "626-623-6171",
            "fax_number": "888-258-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE PHARMACY AND MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "HARATONIANS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-623-6171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.