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EXPRESS PHARMACY INC NPI 1821195660


NPI Information

NPI: 1821195660
Provider Name: EXPRESS PHARMACY INC

Doing Business As: EXPRESS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2196312

Address:
752 E ARROW HWY
POMONA, CA
ZIP 91767
Phone: (909) 398-1289
Get Directions

EXPRESS PHARMACY INC is a community/retail pharmacy pharmacy in Pomona, CA. The provider is 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. EXPRESS PHARMACY INC NPI is 1821195660. The provider is registered as an organization entity type.
The provider Is Doing Business As Express Pharmacy.

The provider's business location address is:

752 E ARROW HWY
POMONA, CA
ZIP 91767-247
Phone: (909) 398-1289
Fax: (909) 398-1291

The provider's authorized official is Chhagan Vasoya .
The authorized official title is Pharmacist, Owner and has the following contact phone number (909) 398-1289.

The CLIA number assigned to this NPI record is 05D2196312 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/8/2022.


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
13336L0003XPharmacyLong Term Care PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
53336C0003XPharmacyCommunity/Retail PharmacyPHY43540CALIFORNIAYes

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
11995190OTHERPK
2PHA435400MEDICAIDCALIFORNIA

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: 11/14/2023

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