Fairmont Pharmacy

LBN: Fairmont Pharmacy Llc
Fairmont Pharmacy is an health care organization with primary practice located at 50 Bellefontaine St Ste 103, Pasadena CA 91105-3132. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Fairmont Pharmacy Llc can be contacted via phone (626) 793-1188, or through Barnet, John Alexander via phone (626) 793-1188.

Contact Information

Primary practice address
50 Bellefontaine St Ste 103 Pasadena CA 91105-3132
Phone: (626) 793-1188
Fax: (626) 793-8414
Website:
Map and Directions
Authorized official contact:
Name: Barnet, John Alexander PHARMD
Phone: (626) 793-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY32744 California
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1043249105
LBN Legal business name Fairmont Pharmacy Llc
DBA Doing business as Fairmont Pharmacy
Authorized official Barnet, John Alexander PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043249105 NPPES
Other 2116041 PK
MEDICAID PHA327440 PK

Popular Providers