Provider Demographics
NPI:1164543625
Name:RX NOW INC
Entity Type:Organization
Organization Name:RX NOW INC
Other - Org Name:HACIENDA HEIGHTS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-839-8900
Mailing Address - Street 1:17170 COLIMA RD
Mailing Address - Street 2:STE F
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6771
Mailing Address - Country:US
Mailing Address - Phone:626-839-8900
Mailing Address - Fax:626-839-2179
Practice Address - Street 1:17170 COLIMA RD
Practice Address - Street 2:STE F
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6771
Practice Address - Country:US
Practice Address - Phone:626-839-8900
Practice Address - Fax:626-839-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
CAPHY483473336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1164543625Medicaid
2112248OtherPK