National Provider Identifier Database

NTEGROUS CORE CORPORATION
Community/Retail Pharmacy

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.


Contact Information

NTEGROUS CORE CORPORATION
1864 E. WASHINGTON BLVD #105
PASADENA, CA91104
Phone: 626-398-1696
Fax: 626-398-9860
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for NTEGROUS CORE CORPORATION

NPI Number 1336230010
Legal business name
LBN
NTEGROUS CORE CORPORATION
Authorized official MARVA BRANNUM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/27/2006
Last updated 08/01/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY34307
  • CA Medicaid: 1336230010
  • CA Medicaid: PHA343070

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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