QUALI-CARE HEALTH CORPORATION (NPI# 1295818342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295818342 |
| Entity Type | Organization |
| Organization Name | QUALI-CARE HEALTH CORPORATION |
| Other Organization Name | CENTURYWOOD MEDICAL PHARMACY |
| Practice Address |
3737 Martin Luther King Jr Blvd Suite 101 Lynwood CA 90262-3513 |
| Mailing Address |
Po Box 368 Montrose CA 91021-0368 |
| Practice Telephone | 3105371440 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | MRS. KHANH HORNE (PRESIDENT) |
| Authorized Official Telephone | 3105371440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49113 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0572342 | 01 | |
| CA | 1295818342 | 05 |
| Other Name | Type Code |
|---|---|
| CENTURYWOOD MEDICAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
3737 MARTIN LUTHER KING JR BLVD SUITE 101 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036700 | Richard Seidman | Internal Medicine | 3737 Martin Luther King Jr Blvd, Ste 401, Lynwood, CA 90262-3513 | 2005-07-08 |
| 1952921280 | Angela Marie Garcia | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2020-04-16 |
| 1245870922 | Davisha Moaning | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2020-01-10 |
| 1871130484 | Sarah Taylor Ortega Flanagan | Physical Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-12-02 |
| 1467097055 | Yuna Kim | Occupational Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-11-07 |
| 1376185710 | Aurora Godinez | Case Manager/Care Coordinator | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-10-16 |
| 1992356208 | Cindy Beas | Occupational Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-09-27 |
| 1871142190 | Jeanette Losaria | Physical Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2019-09-09 |
| 1437644150 | Kevin Abraham Elgrichi | Dentist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-06-25 |
| 1861991663 | Tomanika Taylor | Marriage & Family Therapist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| 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 |
|---|---|---|---|---|
| 1770148264 | Apple Rx Pharmacy Inc | Pharmacy | 3625 Martin Luther King Jr Blvd Ste 1, Lynwood, CA 90262-3509 | 2019-05-09 |
| 1528283348 | Santa Elena Pharmacy | Pharmacy | 9910 Long Beach Blvd Ste F, Lynwood, CA 90262-1561 | 2007-04-16 |
| 1699710491 | Garfield Beach Cvs LLC | Pharmacy | 3800 Martin Luther King Jr Blvd, Lynwood, CA 90262-3602 | 2006-06-17 |
| 1619429420 | Alina Zala Inc. | Pharmacy | 3737 Martin Luther King Jr Blvd, #101, Lynwood, CA 90262-3513 | 2016-10-27 |
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| 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 | ||||
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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.