# A G & Y ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OWL WESTERN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851615363
- **Authorized official:** MAGED GINDI (CFO/RPH)
- **Authorized official phone:** (626) 209-8160

## Contact information

- **Practice address:** 1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
- **Practice address phone:** (626) 209-8160
- **Practice address fax:** (626) 209-8172
- **Mailing address:** 1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
- **Mailing address phone:** (626) 209-8160
- **Mailing address fax:** (626) 209-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BN1400X | Nursing Facility Supplies (DME) | 50226 | CA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 50226 | CA | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 50226 | CA | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 50226 | CA | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 50226 | CA | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 50226 | CA | — |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1851615363 | — | CA |
| 01 | — | 5637662 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 01 | — | LSC 100893 | STERILE COMPOUNDING LICENSE | CA |
| 01 | — | PHY 53855 | BOARD OF PHARMACY LICENSE | CA |