EASTGATE PHARMACY INC (NPI# 1689176356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689176356 |
| Entity Type | Organization |
| Organization Name | EASTGATE PHARMACY INC |
| Other Organization Name | EASTGATE PHARMACY |
| Practice Address |
11741 Valley View St Ste L Cypress CA 90630-5500 |
| Practice Telephone | 7149021480 |
| Practice Fax Number | 7149021481 |
| Mailing Telephone | 7149021480 |
| Mailing Fax Number | 7149021481 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | MINH CHAU NGUYEN (CEO) |
| Authorized Official Telephone | 7149021480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
55923 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176364 | 01 |
| Other Name | Type Code |
|---|---|
| EastGate Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609887264 | Eastgate Pharmacy Inc | Pharmacy | 93 Eastgate Dr, Sylva, NC 28779-5171 | 2006-08-10 |
| Street Address |
11741 VALLEY VIEW ST STE L |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-5500 |
| 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 | 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] |
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| 1659853422 | Harvest Pharmacy LLC | Pharmacy | 9740 Barker Cypress Rd Ste 107, Cypress, TX 77433-1974 | 2018-08-29 |
| 1477061711 | Memorial Hermann Pharmacy Services LLC | Pharmacy | 27700 Northwest Fwy Ste 150, Cypress, TX 77433-6767 | 2018-01-22 |
| 1811405210 | Mtm Pharmacy, LLC | Pharmacy | 18918 Fm 529 Rd Unit 5, Cypress, TX 77433-3373 | 2018-01-19 |
| 1225587942 | Sem Pharmacy & Medical Supply LLC | Pharmacy | 20403 Fm 529 Rd Ste 210, Cypress, TX 77433-3323 | 2016-09-22 |
| 1104281914 | Cvs Pharmacy, Inc. | Pharmacy | 10515 Fry Rd, Cypress, TX 77433 | 2015-12-21 |
| 1083963060 | Bc Pharmacy Inc | Pharmacy | 14030 Telge Rd Ste E, Cypress, TX 77429-6201 | 2012-09-05 |
| 1053419804 | Cvs Pharmacy Inc | Pharmacy | 7010 Fry Rd, Cypress, TX 77433-4400 | 2006-09-20 |
| 1598862096 | Cvs Pharmacy Inc | Pharmacy | 12550 Louetta Rd, Cypress, TX 77429-2139 | 2006-09-20 |
| 1346344173 | Cvs Pharmacy Inc | Pharmacy | 8960 Barker Cypress Rd, Cypress, TX 77433-1644 | 2006-09-12 |
| Find all providers in CYPRESS | ||||
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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.