ENTAG INC (NPI# 1083786867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083786867 |
| Entity Type | Organization |
| Organization Name | ENTAG INC |
| Other Organization Name | MEDICINE CARE PHARMACY II |
| Practice Address |
1685 E Main St Ste 101 El Cajon CA 92021-5225 |
| Practice Telephone | 6193832757 |
| Practice Fax Number | 6199563136 |
| Mailing Telephone | 6193832757 |
| Mailing Fax Number | 8584295780 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | MOHAMMAD FATHIE (CFO) |
| Authorized Official Telephone | 6192003927 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY49784 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2001246 | 01 | |
| CA | 3354331 | 05 | |
| CA | PHA433180 | 05 |
| Other Name | Type Code |
|---|---|
| Medicine Care Pharmacy II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487949319 | Entag Inc | Pharmacy | 1685 E Main St Ste 103, El Cajon, CA 92021-5225 | 2011-06-20 |
| Street Address |
1685 E MAIN ST STE 101 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92021-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053367755 | Catherine Maywood | Specialist | 1685 E Main St, Suite 202, El Cajon, CA 92021-5225 | 2006-05-25 |
| 1902340334 | Ashley Marie Hurt | Nurse Practitioner | 1685 E Main St, El Cajon, CA 92021-5225 | 2016-12-04 |
| 1578918058 | Rachel Stern | Nurse Practitioner | 1685 E Main St, Suite 300, El Cajon, CA 92021-5225 | 2016-05-03 |
| 1831596865 | Iyabo Daramola Md Inc | Internal Medicine | 1685 E Main St, Suite 102, El Cajon, CA 92021-5225 | 2014-11-19 |
| 1871532309 | Gyoung J Park | Specialist | 1685 E Main St, Suite 202, El Cajon, CA 92021-5225 | 2006-06-06 |
| 1477500189 | Personal Physicians Group, Inc. | Specialist | 1685 E Main St, Suite 202, El Cajon, CA 92021-5225 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| 1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
| 1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
| Find all providers in zip 92021 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
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| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
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| 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.