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986 SPECIALTY PHARMACY PASADENA INC
NPI 1770193641
Pharmacy - Long Term Care Pharmacy in Pasadena, CA

Active since August 05, 2020CLIA 05D2188706 · Waiver
1719 E WALNUT ST, PASADENA, CA 91106(626) 798-6789(626) 798-8376 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2021, Aug 5, 2020 (2 updates tracked since 2020).

About 986 Specialty Pharmacy Pasadena Inc NPPES

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

986 SPECIALTY PHARMACY PASADENA INC (NPI 1770193641) is a healthcare organization registered as a long term care pharmacy in Pasadena, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Simon Chan, Vp, as its authorized official.

NPPES Registry Identity

NPI1770193641
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business Name986 SPECIALTY PHARMACY PASADENA INC
Location Address1719 E WALNUT STPasadena, CA 91106-1611
Mailing Address1719 E Walnut StPasadena, CA 91106-1611 · (626) 798-6789 · Fax (626) 798-8376
Phone(626) 798-6789
Fax(626) 798-8376
Organization SubpartNo
Authorized OfficialSimon ChanVp · (626) 798-6789
Enumeration DateAugust 5, 2020
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1770193641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1719 E WALNUT ST, Pasadena, CA 91106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 05D2188706

986 Specialty Pharmacy Pasadena Inc · Pasadena, CA
Active · expires Jul 20, 2028
CLIA Number05D2188706
Laboratory TypePharmacy
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorLinna Ly
Laboratory Phone(626) 798-6789
Laboratory Location986 Specialty Pharmacy Pasadena Inc1719 E Walnut St, Pasadena, CA 91106
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 Specialty Pharmacy Pasadena, In carries, from the Medicare DMEPOS supplier directory.

986 Specialty Pharmacy Pasadena, In

DMEPOS supplier · Pasadena, CAOperated by 986 Specialty Pharmacy Pasadena Inc
✔

Accepts Medicare assignment

986 Specialty Pharmacy Pasadena, In 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)20414507
Medicare Participant SinceApril 15, 2020
Supplier Location1719 E Walnut StPasadena, CA 91106
Phone(626) 798-6789
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DA KYUNG YANG RPH
Pharmacist
1719 E WALNUT ST
PASADENA, CA 91106
Los Angeles County (626) 798-6789
GARRETT OW PHARMD
Pharmacist
1719 E WALNUT ST
PASADENA, CA 91106
Los Angeles County (626) 798-6789
LINNA LY PHARMD
Pharmacist
1719 E WALNUT ST
PASADENA, CA 91106
Los Angeles County (626) 798-6789
STEPHEN CHOI PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1719 E WALNUT ST
PASADENA, CA 91106
Los Angeles County (626) 798-6789
ANDREW DONG-WOOK KIM
Pharmacist
1719 E WALNUT ST
PASADENA, CA 91106
Los Angeles County (626) 798-6789
986 SPECIALTY PHARMACY PASADENA INC
Pharmacy (Specialty Pharmacy)
1719 E WALNUT ST
PASADENA, CA 91106
Los Angeles County (626) 798-6789

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 986 Specialty Pharmacy Pasadena Inc's NPI number?

The NPI number for 986 Specialty Pharmacy Pasadena Inc is 1770193641. It was assigned to this organization in the NPPES registry on August 5, 2020.

Where is 986 Specialty Pharmacy Pasadena Inc located?

986 Specialty Pharmacy Pasadena Inc is located at 1719 E Walnut St, Pasadena, CA 91106. The listed phone number is (626) 798-6789.

What is 986 Specialty Pharmacy Pasadena Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does 986 Specialty Pharmacy Pasadena Inc accept Medicare assignment for medical equipment?

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

Does 986 Specialty Pharmacy Pasadena Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2188706) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does 986 Specialty Pharmacy Pasadena 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 39 other insurers list 986 Specialty Pharmacy Pasadena 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 986 Specialty Pharmacy Pasadena Inc was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.