ANNEX PHARMACY AND MEDICAL SUPPLY INC (NPI# 1083927750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083927750 |
Entity Type | Organization |
Organization Name | ANNEX PHARMACY AND MEDICAL SUPPLY INC |
Other Organization Name | ANNEX PHARMACY AND MEDICAL SUPPLY INC |
Practice Address |
20177 Saticoy St Winnetka CA 91306-2506 |
Mailing Address |
22708 Keswick St West Hills CA 91304-5431 |
Practice Telephone | 8188825010 |
Practice Fax Number | 8188825015 |
Mailing Telephone | 8188825010 |
Mailing Fax Number | 8188825015 |
Enumeration Date | 2010-07-22 |
Last Update Date | 2017-03-01 |
Authorized Official Name | ANENE EZEUKWU (PRESIDENT/PIC) |
Authorized Official Telephone | 8188825010 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY50342 | CA | Suppliers |
N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1083927750 | 05 | |
PK | 2125874 | 01 |
Other Name | Type Code |
---|---|
Annex Pharmacy and Medical Supply Inc | Doing Business As Name - Organization |
Street Address |
20177 SATICOY ST |
City | WINNETKA |
State | CA |
Zip Code | 91306-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275183865 | Anene N Ezeukwu | Pharmacist | 20177 Saticoy St, Winnetka, CA 91306-2506 | 2019-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255856555 | California Physician Network LLC | Non-emergency Medical Transport (VAN) | 7657 Winnetka #712, Winnetka, CA 91306 | 2017-08-08 |
1073069373 | Mostafa Ahady | Optometrist | 7044 Oakdale Ave., Winnetka, CA 91306 | 2016-08-28 |
1922457340 | Evelin Garcia Psy.d. A Psychological Corporation | Community/Behavioral Health | 20832 Roscoe Blvd. Ste.202, Winnetka, CA 91306 | 2016-06-07 |
1104290485 | Edmond Reyhani | Pharmacist | 20839 W Roscoe Blvd, Winnetka, CA 91306 | 2015-11-24 |
1558730770 | Lester Antonio Marlin | Rehabilitation Practitioner | 20325 Sherman Way, Apt44, Winnetka, CA 91306 | 2015-09-17 |
1336578228 | Charmaine Fermin | Counselor | 20225 Cohasset St, Winnetka, CA 91306 | 2013-11-01 |
1669740429 | Robert Hazany | Dentist | 20832 Roscoe Blvd #101, Canoga Park, CA 91306 | 2011-12-08 |
1912223983 | Intrepid Anesthesia Associates Corporation | Anesthesiology | 427 W. Pueblo St., Santa Barbara, CA 91306 | 2010-04-15 |
1235315656 | Angelica Yerena | Marriage & Family Therapist | 20233 Lanark, Winnetka, CA 91306 | 2008-01-16 |
1205054434 | Winnetka Medical Group Inc | Family Medicine | 6742 Winnetka Ave, Winnetka, CA 91306 | 2007-04-23 |
Find all providers in zip 91306 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982003190 | A & G Vitalife Inc | Pharmacy | 7233 Corbin Ave, Winnetka, CA 91306-3006 | 2014-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
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1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
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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.