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Contact Information

NTEGROUS CORE CORPORATION
1864 E. WASHINGTON BLVD #105
PASADENA, CA91104
 Phone: 626-398-1696
 Fax: 626-398-9860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NTEGROUS CORE CORPORATION

NPI # 1336230010
LBN Legal business name NTEGROUS CORE CORPORATION
Authorized official MARVA BRANNUM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2006
Last updated 08/01/2025 - About 10 months ago
Identifiers
CA License # PHY34307
CA Medicaid 1336230010
CA Medicaid PHA343070
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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