Provider Type Icon

EMERALD HEALTHCARE PHARMACY CORP NPI 1790158350


NPI Information

NPI: 1790158350
Provider Name: EMERALD HEALTHCARE PHARMACY CORP

Doing Business As: GRACE CARE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3414 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640
Phone: (323) 597-1188
Get Directions

EMERALD HEALTHCARE PHARMACY CORP is a pharmacy in Montebello, CA. The provider is 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. EMERALD HEALTHCARE PHARMACY CORP NPI is 1790158350. The provider is registered as an organization entity type.
The provider Is Doing Business As Grace Care Pharmacy.

The provider's business location address is:

3414 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640-539
Phone: (323) 597-1188

The provider's authorized official is George Chu .
The authorized official title is President and has the following contact phone number (626) 863-5674.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 10/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy53284CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12155768OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.