GLENDALE WEST DRUG CO INC (NPI# 1619965951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619965951 |
Entity Type | Organization |
Organization Name | GLENDALE WEST DRUG CO INC |
Other Organization Name | GLENDALE WEST PHARMACY AND MEDICAL SUPPLY |
Practice Address |
1109 S Glendale Ave Glendale CA 91205-5657 |
Practice Telephone | 8185485157 |
Practice Fax Number | 8185481064 |
Mailing Telephone | 8185485157 |
Mailing Fax Number | 8185481064 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MALEK SET ALLAHDADAI (PRESIDENT) |
Authorized Official Telephone | 8185485157 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | PHY43706 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PHA437060 | 05 |
Other Name | Type Code |
---|---|
glendale west pharmacy and medical supply | Doing Business As Name - Organization |
Street Address |
1109 S GLENDALE AVE |
City | GLENDALE |
State | CA |
Zip Code | 91205-5657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
Find all providers in zip 91205 |
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 |
---|---|---|---|---|
1154975043 | Bethany Home Discount Pharmacy LLC | Pharmacy | 6601 W Bethany Home Rd Ste A10, Glendale, AZ 85301-4946 | 2019-07-29 |
1124556196 | Glendale Chemist LLC | Pharmacy | 6801 Myrtle Ave, Glendale, NY 11385-7267 | 2017-06-02 |
1225581275 | Dennis Karasek Md Pllc | Pharmacy | 18555 N 79th Ave Ste D107, Glendale, AZ 85308-6040 | 2016-07-26 |
1538521588 | Spectra Scripts Pharmacy Inc | Pharmacy | 567 W Glenoaks Blvd, Glendale, CA 91202-2858 | 2016-03-28 |
1184081515 | Hep Pharmacy Inc | Pharmacy | 900 W Glenoaks Blvd, Suite G, Glendale, CA 91202-2663 | 2016-01-15 |
1588040786 | Glendale Adventist Medical Center | Pharmacy | 1509 Wilson Ter Rm 4b13, Glendale, CA 91206-4007 | 2015-08-11 |
1265813943 | Trinity Rx, Corp. | Pharmacy | 7521 Myrtle Ave, Glendale, NY 11385-7419 | 2015-06-18 |
1215350327 | Jeeva LLC | Pharmacy | 501 W Glenoaks Blvd Ste 12, Glendale, CA 91202-4041 | 2014-01-24 |
1902248453 | Unichoice, Inc | Pharmacy | 1436 W Glenoaks Blvd, Suite A, Glendale, CA 91201-1984 | 2013-07-25 |
1790090280 | Avs Pharmacy Inc | Pharmacy | 511 1/2 E Broadway, Glendale, CA 91205-1110 | 2010-08-10 |
Find all providers in GLENDALE |
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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.