MINTWOOD PHARMACUETICALS, INC. (NPI# 1184022188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184022188 |
| Entity Type | Organization |
| Organization Name | MINTWOOD PHARMACUETICALS, INC. |
| Other Organization Name | MINTWOOD PHARMACY |
| Practice Address |
455 N Lake Ave Pasadena CA 91101 |
| Mailing Address |
455 N Lake Ave Pasadena CA 91101-1215 |
| Practice Telephone | 6263142945 |
| Practice Fax Number | 6263142944 |
| Mailing Telephone | 6263142945 |
| Mailing Fax Number | 6263142944 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | NANCY ELIAS (VICE PRESIDENT & PIC) |
| Authorized Official Telephone | 6263142945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE PERMIT | PHY56896 | 01 |
| Other Name | Type Code |
|---|---|
| Mintwood Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 774 N Maclay Ave Ste B, San Fernando, CA 913402143 | 8183638108 | |
| 455 N Lake Ave, Pasadena, CA 91101 | 6263142945 | 6263142944 |
| Street Address |
455 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| 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 |
|---|---|---|---|---|
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| 1962964098 | Total Care Rx Pharmacy, LLC | Pharmacy | 4002 Burke Rd Ste 500, Pasadena, TX 77504-3451 | 2019-04-06 |
| 1073002127 | Megan International, Inc | Pharmacy | 1017 Fairmont Pkwy, Pasadena, TX 77504-2903 | 2018-05-03 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1861914517 | Care Rrx Pharmacy | Pharmacy | 4102 Woodlawn Ave Ste 120, Pasadena, TX 77504-1948 | 2017-07-14 |
| 1124573183 | Angels Pharmacy | Pharmacy | 3623 Red Bluff Rd, Pasadena, TX 77503-3345 | 2016-08-19 |
| 1568821833 | Kumarx Pharmacy Apc | Pharmacy | 155 S Delacey Ave, #1000, Pasadena, CA 91105 | 2016-02-16 |
| 1295145605 | Bayshore Health Mart, Inc. | Pharmacy | 3315 Burke Rd Ste 100, Pasadena, TX 77504-1873 | 2014-05-07 |
| 1528498821 | Zna LLC | Pharmacy | 354 Mountain Rd Ste E, Pasadena, MD 21122-1158 | 2013-11-22 |
| 1104179696 | Colt Strategies LLC | Pharmacy | 320 Southmore Ave Ste 325b, Pasadena, TX 77502-1135 | 2012-10-21 |
| Find all providers in PASADENA | ||||
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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.