Concourse Rx Pharmacy Inc
NPI 1508921891ActiveOrganization· Pharmacy· City Of Industry, CA
Pharmacy in City Of Industry, California, registered in NPPES in December 2006. The authorized official on file is Tiffany Wu, Ceo/Cfo/Sec./Dir. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1508921891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2006 |
| Last updated in NPPES | Aug 26, 2022 |
| Certified by provider | Aug 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHY46886 | CA |
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 - Pharmacy (CA) |
|---|
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