Organization Active NPI

Star Healthcare Inc

Doing business as Bright Care Pharmacy

  • Community/Retail Pharmacy
  • West Covina, CA
National Provider Identifier
1972584837
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jan 26, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0597899OtherCANCPDP
57339OtherCABOARD OF PHARMACY LICENSE NUMBER

Other names 1

  • Bright Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200608001458 CA DME Supplier - Pharmacy 3375964968 Practice locations: West Covina, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Bright Care Pharmacy140 N Orange Ave, West Covina, CA 91790-2032(626) 251-1630 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 3, 2020

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.