ABC PHARMACY (NPI# 1265796106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265796106 |
| Entity Type | Organization |
| Organization Name | ABC PHARMACY |
| Other Organization Name | ABC PHARMACY |
| Practice Address |
777 W Blaine St Riverside CA 92507-3940 |
| Practice Telephone | 9512999922 |
| Mailing Telephone | 9512999922 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |
| Authorized Official Name | JONATHAN CHAN (PHARMD) |
| Authorized Official Telephone | 9512999922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY50858 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5644249 | 01 |
| Other Name | Type Code |
|---|---|
| ABC Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871967315 | Abc Pharmacy | Pharmacy | 7974 Haven Ave, 120, Rancho Cucamonga, CA 91730-3052 | 2015-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ABC PHARMACY V CORP. | 82 Elizabeth Street, New York, Ny 10013 |
| New York State Corporations | ABC PHARMACY, INC. | 227 Grand St, G/f, New York, Ny 10013 |
| Street Address |
777 W BLAINE ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669980488 | William Woohyun Choi | Pharmacist | 777 W Blaine St, Riverside, CA 92507-3940 | 2018-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1356839617 | Children's Mercy Hospital | Pharmacy | 700 Nw Argosy Parkway, Suite 150, Riverside, MO 64150-1512 | 2018-04-23 |
| 1912406158 | Amsam Enterprises LLC | Pharmacy | 7065 Indiana Ave Ste 310, Riverside, CA 92506-4167 | 2018-02-02 |
| 1255738829 | Cardio Vascular Plus Inc | Pharmacy | 7891 Mission Grove Pkwy S, Suite C, Riverside, CA 92508-5056 | 2014-11-26 |
| 1851716138 | Walmart Inc. | Pharmacy | 8844 Limonite Ave, Riverside, CA 92509-5021 | 2014-02-24 |
| 1295075810 | Phillips Family Pharmacy, LLC | Pharmacy | 2401 Nw Platte Rd, Riverside, MO 64150-9627 | 2013-02-19 |
| 1952647489 | Michael Edward Milad Tadros | Pharmacy | 10237 Magnolia Ave, Riverside, CA 92503-3440 | 2013-01-03 |
| 1548308539 | University of California Riverside | Pharmacy | Campus Health Center Pharmacy, Univ of Ca, Riverside, CA 92521-0001 | 2007-02-02 |
| 1033280409 | Riverside Pharmacy & Compounding | Pharmacy | 9448 Magnolia Ave, Suite B, Riverside, CA 92503 | 2006-11-10 |
| 1477576775 | Garfield Beach Cvs LLC | Pharmacy | 3520 Tyler St, Riverside, CA 92503-4175 | 2006-07-26 |
| 1063457869 | Garfield Beach Cvs LLC | Pharmacy | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2006-06-17 |
| Find all providers in RIVERSIDE | ||||
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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.