986 PHARMACY #8015
NPI 1609938331
Pharmacy - Community/Retail Pharmacy in Baldwin Park, CA

Active since December 16, 2006CLIA 05D2295862 · Waiver
14332 RAMONA BLVD., BALDWIN PARK, CA 91706(626) 337-1510(626) 337-1540 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, Jul 13, 2023 (2 updates tracked since 2023).

About 986 Pharmacy #8015 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

986 PHARMACY #8015 (NPI 1609938331) is a healthcare organization registered as a community/retail pharmacy in Baldwin Park, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Olivia T Martinez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609938331
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameATHENA PHARMACY INC
Location Address14332 RAMONA BLVD.Baldwin Park, CA 91706-3241
Mailing Address14332 Ramona Blvd.Baldwin Park, CA 91706-3241 · (626) 337-1510 · Fax (626) 337-1540
Fax(626) 337-1540
Organization SubpartNo
Authorized OfficialOlivia T MartinezCeo · (626) 337-1510
Enumeration DateDecember 16, 2006
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1609938331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
14332 RAMONA BLVD., Baldwin Park, CA 91706

Other Names 1

Doing Business As986 Pharmacy #8015

Other Identifiers 1

Other59003CA · Ca Bop

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2295862

986 Pharmacy #8015 · Baldwin Park, CA
Active · expires Dec 17, 2027
CLIA Number05D2295862
Laboratory TypePharmacy
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorBrandon Sainz
Laboratory Phone(626) 337-1510
Laboratory Location986 Pharmacy #801514332 Ramona Blvd, Baldwin Park, CA 91706
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories 986 Pharmacy #8015 carries, from the Medicare DMEPOS supplier directory.

986 Pharmacy #8015

DMEPOS supplier · Baldwin Park, CAOperated by Athena Pharmacy Inc

Accepts Medicare assignment

986 Pharmacy #8015 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20305937
Medicare Participant SinceJune 23, 2023
Supplier Location14332 Ramona BlvdBaldwin Park, CA 91706
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athena Pharmacy Inc's NPI number?

The NPI number for Athena Pharmacy Inc is 1609938331. It was assigned to this organization in the NPPES registry on December 16, 2006. The provider is doing business as 986 Pharmacy #8015.

Where is Athena Pharmacy Inc located?

Athena Pharmacy Inc is located at 14332 Ramona Blvd., Baldwin Park, CA 91706. The listed phone number is (626) 337-1510.

What is Athena Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Athena Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, 986 Pharmacy #8015 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Athena Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2295862) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Athena Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Athena Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Athena Pharmacy Inc was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.