IGENOME, INC. (NPI# 1104446798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104446798 |
| Entity Type | Organization |
| Organization Name | IGENOME, INC. |
| Practice Address |
1 World Trade Ctr Fl 8 Long Beach CA 90831-0002 |
| Practice Telephone | 2678962176 |
| Mailing Telephone | 2678962176 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | YU SONG (PHARMACIST-IN-CHARGE) |
| Authorized Official Telephone | 2678962176 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| iGenome Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1835 Chestnut St Apt 3r, Philadelphia, PA 191033702 | 2678962176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294241 | Igenome, Inc. | Clinical Medical Laboratory | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-23 |
| 1871113431 | Igenome, Inc. | Medical Genetics | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-23 |
| 1770102105 | Igenome, Inc. | Internal Medicine | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-15 |
| Street Address |
1 WORLD TRADE CTR FL 8 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90831-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538498548 | Yu Song | Pharmacist | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2009-12-22 |
| 1689294241 | Igenome, Inc. | Clinical Medical Laboratory | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-23 |
| 1871113431 | Igenome, Inc. | Medical Genetics | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-23 |
| 1770102105 | Igenome, Inc. | Internal Medicine | 1 World Trade Ctr Fl 8, Long Beach, CA 90831-0002 | 2020-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366683096 | Lvn/inhome Care Nursing | Private Vehicle | 1 World Trade Ctr, Suite 800, Long Beach, CA 90831-0002 | 2009-03-09 |
| 1023430717 | Providence Community Services | Social Worker | 1 World Trade Ctr, 8th. Floor, Long Beach, CA 90831-0002 | 2014-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114807 | The Healing Sanctum-greenmeadow, LLC | Skilled Nursing Facility | 5302 E Greenmeadow Rd, Long Beach, CA 90808-1620 | 2020-11-06 |
| 1215538590 | Ramsha Khan | Behavior Technician | 225 W 3rd St Apt 436, Long Beach, CA 90802-3052 | 2020-11-04 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1053911412 | Blue Ivory and Palliative Care, Inc | Home Infusion | 2777 Pacific Ave Ste 2k, Long Beach, CA 90806-2625 | 2020-10-27 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1568061117 | Charisse Christie Magsaysay | Nurse Practitioner | 4508 Atlantic Ave Ste 468a, Long Beach, CA 90807-1520 | 2020-10-23 |
| 1578162343 | Shanna Rae Parker | Massage Therapist | 4226 E 4th St Apt 1, Long Beach, CA 90814-4927 | 2020-10-22 |
| 1427657519 | Alana B. Williams | Social Worker | 527 Mockingbird Dr, Long Beach, MS 39560-3118 | 2020-10-20 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| Find all providers in LONG BEACH | ||||
| 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 |
|---|---|---|---|---|
| 1578923025 | Tencare Pharmacy Inc | Pharmacy | 750 Long Beach Blvd Ste 3, Long Beach, CA 90813-4417 | 2016-02-26 |
| 1396119830 | Hl Pharmacy | Pharmacy | 837 E Anaheim St, Long Beach, CA 90813-3550 | 2015-11-20 |
| 1811360043 | Ten Pharmacy | Pharmacy | 750 Long Beach Blvd Ste 1, Long Beach, CA 90813-4417 | 2015-11-10 |
| 1063893816 | Proservrx Inc | Pharmacy | 3828 Schaufele Ave Ste 260, Long Beach, CA 90808-1793 | 2015-06-17 |
| 1356746044 | Mrk View, Inc | Pharmacy | 2491 Pacific Ave Ste 1, Long Beach, CA 90806-2900 | 2014-10-24 |
| 1235496654 | Andrew Minh Do | Pharmacy | 4028 E 7th St, Long Beach, CA 90804-5307 | 2012-04-23 |
| 1659428977 | Kaiser Foundation Health Plan Inc | Pharmacy | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2007-01-05 |
| 1053472753 | Bi-wise Pharmacy Corp. | Pharmacy | 26 West Park Ave, Long Beach, NY 11561-2018 | 2006-12-13 |
| 1174612725 | Big A Drug Store | Pharmacy | 1516 E South St, Long Beach, CA 90805-4341 | 2006-10-12 |
| 1508955154 | Big A Drugstore | Pharmacy | 8111 E Wardlow Rd, Long Beach, CA 90808-3204 | 2006-10-12 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90831 |
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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.