GENESIS PHARMACY (NPI# 1750315719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750315719 |
| Entity Type | Organization |
| Organization Name | GENESIS PHARMACY |
| Other Organization Name | NOT APPLICABLE |
| Practice Address |
10504 E. Artesia Blvd. Bellflower CA 90706-6804 |
| Practice Telephone | 5629202300 |
| Practice Fax Number | 5629202311 |
| Mailing Telephone | 5629202300 |
| Mailing Fax Number | 5629202311 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | MR. JULLIARD ESGUERRA PARUNGAO (OWNER) |
| Authorized Official Telephone | 5629202300 |
| Authorized Official Credential | PHARMACY TECHNIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 44335 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA443350 | 05 |
| Other Name | Type Code |
|---|---|
| not applicable | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828345 | Genesis Pharmacy | Pharmacy | 6558 Fresh Meadow Ln, Fresh Meadows, NY 11365-2012 | 2018-10-29 |
| 1134133069 | Genesis Pharmacy | Health Maintenance Organization | Carretera #3 Km 123.0, Patillas, PR 00723 | 2006-07-28 |
| 1174675599 | Genesis Pharmacy | Pharmacy | 1 N Broadway St, Des Plaines, IL 60016-2335 | 2007-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Genesis Pharmacy & Medical Supplies LLC | 9878 W Belleview Ave Ste 2480, Denver, CO 80123 |
| System for Award Management (SAM) Entities | GENESIS PHARMACY INC | 6558 Fresh Meadow Ln, Fresh Meadows, NY 11365-2012 |
| New York State Corporations | GENESIS PHARMACY INC | 65-58 Fresh Meadow Lane, Fresh Meadow, Ny 11365 |
| Street Address |
10504 E. ARTESIA BLVD. |
| City | BELLFLOWER |
| State | CA |
| Zip Code | 90706-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526573 | Edward W. Lew Dmd Inc. | Dentist | 17024 Clark Ave Suite C, Bellflower, CA 90706 | 2017-09-05 |
| 1629501226 | Miriam Zuniga Dds Inc | Clinic/Center | 14349 Woodruff Ave, Bellflower, CA 90706 | 2017-04-10 |
| 1528507175 | Michael Dwayne Chubbs | In Home Supportive Care | 15120 Woodruff Avenue, Unit #25, Bellflower, CA 90706 | 2017-02-15 |
| 1407229792 | Lillian Armenta | Case Manager/Care Coordinator | 13536 Cowley Avenue, Bellflower, CA 90706 | 2015-11-09 |
| 1295119568 | Saima Martinez | Dental Assistant | 9719 Cedar St. Apt. 1, Bellflower, CA 90706 | 2015-07-16 |
| 1891198214 | Vanessa Guerra | Counselor | 17800 Woodruff, Bellflower, CA 90706 | 2014-09-30 |
| 1679995534 | Yunsook Cheung Waldman | Dentist | 10318 E. Rosecrans, Bellflower, CA 90706 | 2014-01-13 |
| 1144652736 | Verzhine Elena Trdatyan | Pharmacist | 15740 Woodruff Avenue, Bellflower, CA 90706 | 2013-08-06 |
| 1245579481 | Lynn F Lo | Nurse Practitioner | 16323 Clark Ave., Bell Flower, CA 90706 | 2013-02-07 |
| 1285972240 | Miriam Zuniga-bernardeau | Dentist | 14349 Woodruff Ave., Bellflower, CA 90706 | 2013-01-26 |
| Find all providers in zip 90706 | ||||
| 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 |
|---|---|---|---|---|
| 1982102463 | Live Well Mma LLC | Pharmacy | 17620 Bellflower Blvd Ste B104, Bellflower, CA 90706-8001 | 2018-01-30 |
| 1700270477 | Apple Rx Pharmacy Inc | Pharmacy | 17601 Lakewood Blvd, Bellflower, CA 90706-6409 | 2015-03-20 |
| 1619306578 | Walgreens | Pharmacy | 15740 Woodruff Ave, Bellflower, CA 90706-4018 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | BELLFLOWER |
| Zip Code | 90706 |
Please comment or provide details below to improve the information on GENESIS PHARMACY.
| 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.