Provider Demographics
NPI:1346614203
Name:CARE FIRST PHARMACY INC
Entity Type:Organization
Organization Name:CARE FIRST PHARMACY INC
Other - Org Name:GLENVISTA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHINEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-201-2900
Mailing Address - Street 1:1415 E COLORADO ST
Mailing Address - Street 2:#M
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1533
Mailing Address - Country:US
Mailing Address - Phone:818-201-2900
Mailing Address - Fax:877-581-9949
Practice Address - Street 1:1415 E COLORADO ST
Practice Address - Street 2:#M
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1533
Practice Address - Country:US
Practice Address - Phone:818-201-2900
Practice Address - Fax:877-581-9949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 335E00000X
CAPHY53906333600000X
CAPHY 539063336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY 53906OtherBOARD OF PHARMACY RETAIL PERMIT