MEDICINE SHOPPE (NPI# 1538271523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538271523 |
| Entity Type | Organization |
| Organization Name | MEDICINE SHOPPE |
| Practice Address |
702 S Del Mar Ave San Gabriel CA 91776-2440 |
| Practice Telephone | 6262852206 |
| Practice Fax Number | 6262856745 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | THEODORE HILL (OWNER PHARMACIST) |
| Authorized Official Telephone | 6262852206 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHY360660 | CA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0500086 | 01 | |
| CA | PHA360660 | 05 | |
| CA | DEA # | BT2148953 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083740492 | Medicine Shoppe | Pharmacy | 1508 W 35th St, Austin, TX 78703-1437 | 2007-02-27 |
| 1902932304 | Medicine Shoppe | Pharmacy | 1204 Columbus Ave, Washington Court House, OH 43160-1655 | 2007-02-27 |
| 1831225234 | Medicine Shoppe | Pharmacy | 10056 Saint Charles Rock Rd, Saint Ann, MO 63074-2022 | 2007-02-27 |
| 1427120229 | Medicine Shoppe | Pharmacy | 920 Lawrence Ave, Ellwood City, PA 16117-1850 | 2006-11-15 |
| 1639271059 | Medicine Shoppe | Pharmacy | 4730 Jackson, Alexandria, LA 71303-2000 | 2006-09-05 |
| 1144332149 | Medicine Shoppe | Pharmacy | 600 Park Ln, Park Center Shopping Center, Chillicothe, MO 64601-1566 | 2006-08-31 |
| 1306958319 | Medicine Shoppe | Pharmacy | 68 Fraley St, Kane, PA 16735-1325 | 2006-08-31 |
| 1962514976 | Medicine Shoppe | Pharmacy | 69 N Market St, Nanticoke, PA 18634-1553 | 2006-08-31 |
| 1356453351 | Medicine Shoppe | Pharmacy | 329 E Highway 12, Litchfield, MN 55355-2295 | 2006-08-31 |
| 1982716809 | Medicine Shoppe | Pharmacy | 300 W Shaw Ave Ste 114, Clovis, CA 93612-3680 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICINE SHOPPE | 1811 Knoll Dr Ste A, Ventura, CA 93003-7321 |
| Oregon Corporations, Companies and Business Names | MEDICINE SHOPPE | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123 |
| Vermont Business Registrations | MEDICINE SHOPPE | 20 S Main St Ste 1, Barre, VT 05641 |
| Ohio Business Entities | MEDICINE SHOPPE INTERNATIONAL, INC. | 1 Rider Trail Plaza Drive, Ste 300, Earth City, MO 63045 |
| New York State Corporations | MEDICINE SHOPPE INTERNATIONAL, INC. | 28 Liberty St., New York, New York 10005 |
| System for Award Management (SAM) Entities | MEDICINE SHOPPE OF NEWTON, IL | 600 W Jourdan St, Newton, IL 62448-1056 |
| Vermont Business Registrations | MEDICINE SHOPPE OF SPRINGFIELD | 20 Valley Street, Springfield, VT 05156 |
| Vermont Business Registrations | MEDICINE SHOPPE PHARMACY OF READING | 1170 Perkiomen Avenue, Reading, PA 19602 |
| System for Award Management (SAM) Entities | MEDICINE SHOPPE PHARMACY, THE | 234 W Main St, Bellevue, OH 44811-1330 |
| Vermont Business Registrations | MEDICINE SHOPPE THE | Barre City, VT 05641 |
| Street Address |
702 S DEL MAR AVE |
| City | SAN GABRIEL |
| State | CA |
| Zip Code | 91776-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205395563 | Victor Alejandro Campos | Behavioral Analyst | 222 E. Las Tunas Drive, San Gabriel, CA 91776 | 2019-03-17 |
| 1700340445 | Chaoshan Medical Center | Acupuncturist | 206 E. Las Tunas Drive, Suite 1, San Gabriel, CA 91776 | 2019-01-28 |
| 1730671694 | Anh Thoai Quach | Acupuncturist | 801 E Valley Blvd Ste 102, San Gabriel, CA 91776 | 2018-06-05 |
| 1477044345 | Ethan C.a. Lee Dental Inc. | Dentist | 314 W. Valley Blvd, San Gabriel, CA 91776 | 2018-05-25 |
| 1952828220 | Helena Lau | Pharmacist | 1512 Prospect Avenue, Apartment D, San Gabriel, CA 91776 | 2017-08-27 |
| 1154844876 | An An Tong Corporation | Acupuncturist | 150 S San Gabriel Blvd., San Gabriel, CA 91776 | 2017-07-25 |
| 1689074734 | Son Nguyen Dds | Dentist | 730 East Valley Blvd, San Gabriel, CA 91776 | 2014-08-26 |
| 1376951509 | Pay-jiuan Chang, D.d.d., Inc. | Dentist | 1045 E. Valley Blvd., A 207, San Gabriel, CA 91776 | 2014-07-31 |
| 1396163614 | Wu Dental Inc. | Dentist | 410 S. San Gabriel Blvd #11, San Gabriel, CA 91776 | 2014-04-03 |
| 1114266574 | Jeremy Chen | Acupuncturist | 5200 N. Rosemead Blvd, San Gabriel, CA 91776 | 2013-02-05 |
| Find all providers in zip 91776 | ||||
| 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 |
|---|---|---|---|---|
| 1053959189 | Pharmmed Inc | Pharmacy | 360 E Las Tunas Dr Ste 101a, San Gabriel, CA 91776-5514 | 2019-12-19 |
| 1922545342 | Wellcome Pharmacy Group Inc | Pharmacy | 828 E Valley Blvd, Ste B, San Gabriel, CA 91776-3699 | 2017-01-23 |
| 1700227683 | Omni Healthcare Solutions Inc | Pharmacy | 927 E Las Tunas Dr, Suite H, San Gabriel, CA 91776-1661 | 2013-07-08 |
| 1104169531 | Tratt | Pharmacy | 1135 S San Gabriel Blvd, #2, San Gabriel, CA 91776-3114 | 2013-04-04 |
| 1427282490 | Poch Blanco | Pharmacy | 546 West Las Tunas Drive, San Gabriel, CA 91776 | 2009-05-06 |
| 1154431393 | Smart Computer Inc. | Pharmacy | 1428 S San Gabriel Blvd, San Gabriel, CA 91776-3656 | 2006-08-30 |
| 1548688328 | Kbba Inc | Pharmacy | 230 E Valley Blvd, Suite #103, San Gabriel, CA 91776-6510 | 2014-03-31 |
| 1548502263 | Maluk Enterprising Corporation | Pharmacy | 140 W Valley Blvd, #105, San Gabriel, CA 91776-3760 | 2013-03-20 |
| 1801137195 | Ez Pharmacy | Pharmacy | 625 E Valley Blvd, Suite J, San Gabriel, CA 91776-3591 | 2013-03-12 |
| 1801914056 | New-1 Pharmacy | Pharmacy | 808 E Valley Blvd, San Gabriel, CA 91776-3607 | 2007-03-26 |
| Find all providers in SAN GABRIEL | ||||
| City | SAN GABRIEL |
| Zip Code | 91776 |
Please comment or provide details below to improve the information on MEDICINE SHOPPE.
| 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.