| NPI | 1336230010 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-27 |
| Last Updated | 2025-08-01 |
| Authorized Official | Marva Brannum Owner Phone: 6263981696 |
| Mailing Address | 1864 E. Washington Blvd #105 Pasadena, CA 91104 United States Phone: (626) 398-1696 | Fax: (626) 398-9860 📍 View Map |
| Primary Practice Address | 1864 E. Washington Blvd #105 Pasadena, CA 91104 United States Phone: (626) 398-1696 | Fax: (626) 398-9860 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1336230010 | - |
| MEDICAID | CA | PHA343070 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | CA | PHY34307 |
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1336230010
Ntegrous Core Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1336230010. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Pasadena, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336230010?
NPI 1336230010 belongs to Ntegrous Core Corporation, a Pharmacy, Community/Retail Pharmacy in Pasadena, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336230010 active?
The current status of NPI 1336230010 in the NPPES registry is Active. The record was last updated on 2025-08-01.
What specialty is NPI 1336230010?
NPI 1336230010 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336230010?
You can verify NPI 1336230010 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336230010?
The primary practice address on file for NPI 1336230010 is 1864 E. Washington Blvd #105, Pasadena, CA 91104. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336230010 issued?
NPI 1336230010 was first issued (enumerated) on 2006-09-27. The NPPES record was last updated on 2025-08-01.
Practice Location Map
Ntegrous Core Corporation is located at 1864 E. Washington Blvd #105, Pasadena, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ntegrous Core Corporation. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336230010. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | PHY34307 | CA |