Angelic Rx Pharmacy, Inc.
NPI 1134814593ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Upland, CA
Pharmacy, Long Term Care Pharmacy in Upland, California, registered in NPPES in April 2023. The authorized official on file is Shiena Leano, Cfo/Vp/Dir. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1134814593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2023 |
| Last updated in NPPES | Dec 20, 2023 |
| Certified by provider | Dec 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (CA) |
|---|
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