CBC PROFESSIONAL PHARMACY INC (NPI# 1013919687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013919687 |
| Entity Type | Organization |
| Organization Name | CBC PROFESSIONAL PHARMACY INC |
| Other Organization Name | CBC MISSION PHARMACY |
| Practice Address |
716 E Mission Blvd Ste A Pomona CA 91766-2040 |
| Mailing Address |
2095 W Arrow Rte Upland CA 91786-4210 |
| Practice Telephone | 9098651149 |
| Practice Fax Number | 9096224297 |
| Mailing Telephone | 9099824843 |
| Mailing Fax Number | 9099824967 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MARLA L FREED (PRESIDENT) |
| Authorized Official Telephone | 9099824843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PHY41846 | CA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NABP | 0596087 | 01 |
| CA | PHA418460 | 05 |
| Other Name | Type Code |
|---|---|
| CBC Mission Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868084 | Cbc Professional Pharmacy Inc | Pharmacy | 716 E Mission Blvd Ste B, Pomona, CA 91766-7203 | 2005-08-15 |
| 1972505592 | Cbc Professional Pharmacy Inc | Pharmacy | 1800 Western Ave, San Bernardino, CA 92411-1356 | 2005-08-12 |
| 1700888310 | Cbc Professional Pharmacy Inc | Pharmacy | 1800 Medical Center Dr, San Bernardino, CA 92411-1218 | 2005-08-12 |
| 1033202460 | Cbc Professional Pharmacy Inc | Pharmacy | 420 W Rowland St, Covina, CA 91723-2943 | 2006-09-30 |
| 1699777177 | Cbc Professional Pharmacy Inc | Pharmacy | 1818 N Orange Grove Ave, Suite 100, Pomona, CA 91767-3028 | 2005-08-15 |
| Street Address |
716 E MISSION BLVD STE A |
| City | POMONA |
| State | CA |
| Zip Code | 91766-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861735847 | Sol Med Spa | Family Medicine | 716 E Mission Blvd, Ste. D, Pomona, CA 91766-7203 | 2013-03-28 |
| 1669772760 | Robert Andrew Gallegos Jr. | Physician Assistant | 716 E Mission Blvd, Suite D, Pomona, CA 91766-7203 | 2010-10-25 |
| 1316168578 | Roxann Esther Wuest | Physician Assistant | 716 E Mission Blvd, Pomona, CA 91766-7203 | 2007-05-02 |
| 1053343509 | Luis Perez, M.d., A Professional Corporation | Family Medicine | 716 E Mission Blvd, Suite D, Pomona, CA 91766-2040 | 2006-07-07 |
| 1225099880 | Luis Jesus Mejia Perez | Family Medicine | 716 E Mission Blvd, Suite D, Pomona, CA 91766-2040 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| Find all providers in zip 91766 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801218029 | Sjc Management and Consulting Corp | Pharmacy | 3040 & 3042 W Temple Ave, Pomona, CA 91766-6816 | 2014-01-07 |
| 1376887166 | Santa Maria Pharmacy Inc | Pharmacy | 2288 S Garey Ave, Pomona, CA 91766-5645 | 2012-11-16 |
| 1407943608 | Trucare Pharmacy of Rockland | Pharmacy | 358 Route 202, Pomona, NY 10970-3107 | 2006-10-07 |
| 1720185564 | All-lor Inc | Pharmacy | 728 Fairplex Dr, Pomona, CA 91768-1100 | 2006-09-20 |
| 1821195660 | Express Pharmacy Inc | Pharmacy | 752 E Arrow Hwy, Pomona, CA 91767-2247 | 2006-09-20 |
| 1316979271 | Stop and Shop Supermarket Co LLC | Pharmacy | 1581 Us Hwy 202, Pomona, NY 10970 | 2006-07-07 |
| 1831170075 | Gisele Nguyen Inc | Pharmacy | 1182 E Holt Ave, Ste A, Pomona, CA 91767-5833 | 2005-11-06 |
| 1619969201 | Th Pharmaceuticals, Inc. | Pharmacy | 1101 E Holt Ave, Suite F, Pomona, CA 91767-5800 | 2005-08-18 |
| 1508868084 | Cbc Professional Pharmacy Inc | Pharmacy | 716 E Mission Blvd Ste B, Pomona, CA 91766-7203 | 2005-08-15 |
| 1841292406 | Bristol Drug Co Inc | Pharmacy | 160 E Artesia St Ste 135, Pomona, CA 91767-2924 | 2005-08-12 |
| Find all providers in POMONA | ||||
Please comment or provide details below to improve the information on CBC PROFESSIONAL PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.