PHARMERICA DRUG SYSTEMS LLC (NPI# 1114950789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114950789 |
| Entity Type | Organization |
| Organization Name | PHARMERICA DRUG SYSTEMS LLC |
| Other Organization Name | PHARMERICA |
| Practice Address |
11205 Knott Ave Suite C Cypress CA 90630-5489 |
| Mailing Address |
3802 Corporex Park Dr Ste 150 Tampa FL 33619-1135 |
| Practice Telephone | 7148915145 |
| Practice Fax Number | 7149012468 |
| Mailing Telephone | 5023942100 |
| Mailing Fax Number | 5026277401 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | STEVEN S. REED (VICE PRESIDENT) |
| Authorized Official Telephone | 5023942100 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHARMERICA CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
LSC99079 | CA | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY48709 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0595287 | 01 | |
| CA | PHA460540 | 05 | |
| CA | 114950789 | 05 |
| Other Name | Type Code |
|---|---|
| PHARMERICA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033139944 | Pharmerica Drug Systems LLC | Pharmacy | 9386 Hardy Road, Vinton, VA 24179 | 2006-07-20 |
| 1487687059 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 775 Bell Rd, Sarasota, FL 34240-9509 | 2006-07-08 |
| 1619900297 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 6113 43rd St, Suite D, Lubbock, TX 79407-3747 | 2006-07-08 |
| 1023041696 | Pharmerica Drug Systems LLC | Pharmacy | 1041 Elkton Dr, Suite A, Colorado Springs, CO 80907-3539 | 2006-07-08 |
| 1184657769 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 153 Stewart Rd, Hanover Township, PA 18706-1486 | 2006-07-08 |
| 1396778965 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 873 Ricardo Ct, San Luis Obispo, CA 93401-7174 | 2006-07-08 |
| 1891728473 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 305 Seaboard Ln, Suite 318, Franklin, TN 37067-8287 | 2006-07-08 |
| 1376576959 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 4575 44th St Se, Suite A, Grand Rapids, MI 49512-4080 | 2006-07-08 |
| 1710910393 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 489 Shoemaker Rd, Suite 106, King of Prussia, PA 19406-4235 | 2006-07-08 |
| 1588697155 | Pharmerica Drug Systems LLC | Durable Medical Equipment & Medical Supplies | 8930 Activity Rd, Suite K, San Diego, CA 92126-4457 | 2006-07-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | PharMerica Drug Systems LLC | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | PharMerica Drug Systems LLC | 1901 Campus Pl, Louisville, Kentucky 40299 |
| Street Address |
11205 KNOTT AVE SUITE C |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-5489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922548338 | Sam Chi | Pharmacist | 11205 Knott Ave, Suite C, Cypress, CA 90630-5489 | 2017-03-03 |
| 1497115943 | Brenda Gonzales | Speech-Language Pathologist | 11205 Knott Ave, Suite E, Cypress, CA 90630-5489 | 2016-02-25 |
| 1851760508 | Jonathan Baik | Physical Therapist | 11205 Knott Ave, Suite E, Cypress, CA 90630-5489 | 2015-09-23 |
| 1326064213 | Pharmacy Corporation of America | Durable Medical Equipment & Medical Supplies | 11205 Knott Ave, Suite E, Cypress, CA 90630-5489 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997882 | Selene Monique Bustamante | Assistant Behavior Analyst | 10202 Aurelia Ave, Cypress, CA 90630 | 2020-03-18 |
| 1063068872 | Harriet Lang | Technician | 10717 Thomas Circle, Cypress, CA 90630 | 2019-08-16 |
| 1831756527 | Faye Uy Dds, A Professional Corporation | Dentist | 9521 Valley View St, Cypress, CA 90630 | 2019-05-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1770007643 | Cory Glen Lovelace | Physical Therapist | 6452 Cantiles Ave, Cypress, CA 90630 | 2017-08-01 |
| 1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
| 1073922969 | Sungsim Hwang | Acupuncturist | 9091 Holder St #120, Cypress, CA 90630 | 2014-08-05 |
| 1821429499 | David Kim Endo Dmd Inc | Dentist | 9242 Walker St. Unit C, Cypress, CA 90630 | 2013-12-09 |
| 1235474941 | Arlen Grajeda | Marriage & Family Therapist | 5712 Campt St, Cypress, CA 90630 | 2012-12-06 |
| 1083968697 | Byungheon Moon | Acupuncturist | 5241 Lincoln Ave. Ste C1, Cypress, CA 90630 | 2012-11-05 |
| Find all providers in zip 90630 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508971532 | Ms Cypress 392 Inc | Pharmacy | 9963 Walker St, Cypress, CA 90630-3827 | 2006-08-20 |
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| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 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.