PNK PHARMACY, INC. (NPI# 1114082542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114082542 |
| Entity Type | Organization |
| Organization Name | PNK PHARMACY, INC. |
| Other Organization Name | TLC MEDICAL ARTS PHARMACY |
| Practice Address |
1500 W West Covina Pkwy Ste 100 West Covina CA 91790-2708 |
| Practice Telephone | 6263387233 |
| Practice Fax Number | 6263387255 |
| Mailing Telephone | 6263387233 |
| Mailing Fax Number | 6263387255 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | KAMLESH TRIKAMBHAI MANIA (OWNER) |
| Authorized Official Telephone | 6263387233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
53822 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5624730 | 01 |
| Other Name | Type Code |
|---|---|
| TLC MEDICAL ARTS PHARMACY | Doing Business As Name - Organization |
| Street Address |
1500 W WEST COVINA PKWY STE 100 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922057256 | Ruth Manjula Karunananthan | Internal Medicine | 1500 W West Covina Pkwy, Ste 102, West Covina, CA 91790-2703 | 2006-05-05 |
| 1023483385 | Kamlesh T Mania | Pharmacist | 1500 W West Covina Pkwy, Suite 100, West Covina, CA 91790-2708 | 2015-12-11 |
| 1265688337 | Katherine Footracer | Physician Assistant | 1500 W West Covina Pkwy, West Covina, CA 91790-2708 | 2008-08-08 |
| 1801051784 | Lakeside Medical Associates, A Medical Group, Inc. | Internal Medicine | 1500 W West Covina Pkwy, West Covina, CA 91790-2708 | 2008-07-21 |
| 1407047756 | Darrell Anthony Carter | Physician Assistant | 1500 W West Covina Pkwy, West Covina, CA 91790-2708 | 2007-08-01 |
| 1114040235 | Eliot Alan Waron | Physician Assistant | 1500 W West Covina Pkwy, Ste 102, West Covina, CA 91790-2703 | 2007-04-06 |
| 1386789311 | West Covina Medical Clinic | Internal Medicine | 1500 W West Covina Pkwy, West Covina, CA 91790-2707 | 2007-02-20 |
| 1477561496 | Clara Edobor | Nurse Practitioner | 1500 W West Covina Pkwy, West Covina, CA 91790-2708 | 2006-08-04 |
| 1679523682 | Suneetha Sajid Ali | Obstetrics & Gynecology | 1500 W West Covina Pkwy, Ste 203, West Covina, CA 91790-2703 | 2006-05-11 |
| 1497705289 | Van Hong Duong | Family Medicine | 1500 W West Covina Pkwy, Ste 101, West Covina, CA 91790-2703 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1871116574 | Altamed Health Services Corp | Pharmacy | 1300 S Sunset Ave Rm 100, West Covina, CA 91790-3342 | 2020-05-28 |
| 1366855512 | Btn Orange Pharmacy | Pharmacy | 140 North Orange Ave, Suite 103, West Covina, CA 91790 | 2014-06-05 |
| 1245416668 | Garfield Beach Cvs LLC | Pharmacy | 2370 S Azusa Ave, West Covina, CA 91792-1511 | 2008-01-16 |
| 1023052370 | Garfield Beach Cvs LLC | Pharmacy | 702 N Azusa Ave, West Covina, CA 91791-1010 | 2006-06-16 |
| 1891738068 | Longs Drug Stores California LLC | Pharmacy | 727 S Glendora Ave, West Covina, CA 91790-3707 | 2006-06-14 |
| 1669413605 | Garfield Beach Cvs LLC | Pharmacy | 2831 E Eastland Center Dr, West Covina, CA 91791-1624 | 2006-06-09 |
| 1972584837 | Star Healthcare Inc | Pharmacy | 140 N Orange Ave Ste 103, West Covina, CA 91790-2032 | 2005-11-08 |
| 1497142251 | Pharmedquest Pharmacy Services | Pharmacy | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2015-04-20 |
| 1477700649 | New 1 Pharmacy Inc | Pharmacy | 2707 E Valley Blvd, Unit 100, West Covina, CA 91792-3195 | 2008-08-19 |
| 1114054954 | Healthcare Medical Supplies Inc | Pharmacy | 1535 W Merced Ave, Suite 100, West Covina, CA 91790-3404 | 2007-02-28 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.