Genesis Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GENESIS PHARMACY CORP

Practice address

31946 Mission TRL Ste A1
Lake Elsinore, CA 92530-4539

Phone

(559) 358-5873

NPI assigned

Feb 7, 2019

Organization subpart

No

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

Authorized official

Name

Fady Mosaad

Title

Ceo

Phone

(951) 245-1373

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• ENOVA CARE PHARMACY Doing business as
• The Medicine Shoppe Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Enova Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Pharmacy Corp

  • Long Term Care Pharmacy
  • Lake Elsinore, CA
  • NPI 1790603512
  NPD tax ID

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1982169561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE A1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "951-245-1373",
            "fax_number": "877-489-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE A1",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "559-358-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MOSAAD",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-245-1373"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982169561",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY57029",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENOVA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Jennifer Garzon, LVN
• Gen-RX-Drugs
• Genesis Pharmacy Corp
• Camille M George
• Michael E Geraghty, PH.D.
• Geoffrey David Gerstein, LPT
• Janaz Ghadiali, DPT
• Hamzaa Ghani, PA

• Community/Retail Pharmacy in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.