Active NPI
Star Healthcare Inc
Doing business as Bright Care Pharmacy
- Community/Retail Pharmacy
- West Covina, CA
National Provider Identifier
1972584837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- STAR HEALTHCARE INC
- Doing business as
- Bright Care Pharmacy
- Practice address
- 140 N Orange Ave Ste 103
West Covina, CA 91790-2032 - Phone
- (626) 251-1630
- Fax
- (626) 251-1631
- NPI assigned
- Nov 8, 2005
- 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
- Nilesh Kotadiya
- Title
- Ceo / Director
- Phone
- (626) 587-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
140 N Orange Ave Ste 103
West Covina, CA 91790-2032
Mailing address
140 N Orange Ave Ste 103
West Covina, CA 91790-2032
Phone (626) 251-1630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0597899 | Other | CA | NCPDP |
| 57339 | Other | CA | BOARD OF PHARMACY LICENSE NUMBER |
Other names 1
- Bright Care 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 |
|---|---|---|---|---|
| O20200608001458 | CA | DME Supplier - Pharmacy | 3375964968 | Practice locations: West Covina, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bright Care Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1972584837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N ORANGE AVE STE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902032",
"telephone_number": "626-251-1630",
"fax_number": "626-251-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N ORANGE AVE STE 103",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902032",
"telephone_number": "626-251-1630",
"fax_number": "626-251-1631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-08",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "KOTADIYA",
"authorized_official_first_name": "NILESH",
"authorized_official_title_or_position": "CEO / DIRECTOR",
"authorized_official_telephone_number": "626-587-0400"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0597899",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LICENSE NUMBER",
"identifier": "57339",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bright Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
- SRSW LLC (Beacon Healthcare Center)
- St Joseph Multi-Specialty Clinic Corp
- Nicole Stafford
- Stanley J. Majcher, MD, Inc.
- Star Health Medical, Professional Corporation
- Starwood Audiology and Hearing AIDS a Professional Corporation
- Stay Calm Nutrition LLC
- Daniel Anthony Steigelman, MD
- Ralph Norman Steiger, M.D.
- Madyson Steiner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.