MEDICINE MADE EASY (NPI# 1578521845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578521845 |
| Entity Type | Organization |
| Organization Name | MEDICINE MADE EASY |
| Other Organization Name | MOMS PHARMACY |
| Practice Address |
19300 S Hamilton Ave Suite 170 & 180 Gardena CA 90248-4400 |
| Practice Telephone | 3109722999 |
| Practice Fax Number | 3109722995 |
| Mailing Telephone | 3109722999 |
| Mailing Fax Number | 3109722995 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | RUSSELL J. FICHERA (SENIOR VICE PRESIDENT AND TREASURER) |
| Authorized Official Telephone | 5082971018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY 50170 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 5622661 | 01 | |
| DEA | FM2036336 | 01 | |
| CA | STATE LICENSE | PHY 50170 | 01 |
| CA | PHA 50170 | 05 |
| Other Name | Type Code |
|---|---|
| MOMS Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891743969 | Medicine Made Easy | Pharmacy | 3940 4th Ave, Ste 150, San Diego, CA 92103-3193 | 2006-05-04 |
| 1598723579 | Medicine Made Easy | Pharmacy | 5417 Whittier Blvd, Los Angeles, CA 90022-4101 | 2006-05-01 |
| Street Address |
19300 S HAMILTON AVE SUITE 170 & 180 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215380001 | Sl Start Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S Hamilton Ave, Ste 130, Gardena, CA 90248-4400 | 2016-07-18 |
| 1821480013 | Imagine Behavioral Services Ca, LLC | Behavioral Analyst | 19300 S Hamilton Ave, #130, Gardena, CA 90248-4400 | 2015-02-24 |
| 1174968655 | Stephanie Garlick | Behavioral Analyst | 19300 S Hamilton Ave, Suite 130, Gardena, CA 90248-4400 | 2013-05-09 |
| 1346580230 | Jennifer S. Martinez | Pharmacist | 19300 S Hamilton Ave, Ste 170, Gardena, CA 90248-4400 | 2013-02-28 |
| 1831447200 | Gilberto Gonzalez Melo | Pharmacist | 19300 S Hamilton Ave, Suite 170, Gardena, CA 90248-4400 | 2012-08-16 |
| 1417216300 | Aids Healthcare Foundation | Pharmacy | 19300 S Hamilton Ave, #170/180, Gardena, CA 90248-4400 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822766 | Kaiser Foundation Hospitals | Pharmacy | 18600 S Figueroa St Fl-1, Rm S1085a, Gardena, CA 90248-4505 | 2019-10-10 |
| 1417387267 | Aids Healthcare Foundation | Pharmacy | 19300 S. Hamilton Avenue, Gardena, CA 90248-4411 | 2013-11-14 |
| 1144378787 | Gardena Center Pharmacy LLC | Pharmacy | 15407 S Western Ave, Gardena, CA 90249-4318 | 2007-01-08 |
| 1619924297 | Meiji Pharmacy Inc | Pharmacy | 1630 W Redondo Beach Blvd, Ste 14, Gardena, CA 90247-3200 | 2006-05-28 |
| 1558895193 | Sav-most Pharmacy Inc | Pharmacy | 14133 S Vermont Ave, Gardena, CA 90247-2205 | 2017-04-19 |
| 1487099081 | Kaiser Foundation Health Plan Inc | Pharmacy | 18600 S Figueroa St, Fl 1, Gardena, CA 90248-4505 | 2013-05-08 |
| 1417216300 | Aids Healthcare Foundation | Pharmacy | 19300 S Hamilton Ave, #170/180, Gardena, CA 90248-4400 | 2012-05-11 |
| 1740337062 | Kaiser Foundation Health Plan Inc | Pharmacy | 15446 S Western Ave, Gardena, CA 90249-4319 | 2007-01-05 |
| 1639180227 | Providence Pharmaceuticals Inc | Pharmacy | 15435 S Western Ave, Ste 100 C, Gardena, CA 90249-4323 | 2006-08-10 |
| 1669491700 | Gardena Hospital Lp | Pharmacy | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2006-07-19 |
| Find all providers in GARDENA | ||||
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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.