Organization
GLORY PHARMACY INC.
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
NORA ISKANDAR (SECRETARY)
(909) 542-9365
Entity
Organization
Contact information
Practice address
9675 MONTE VISTA AVE STE A, MONTCLAIR, CA 91763-2213
(626) 234-3186
Mailing address
9675 MONTE VISTA AVE STE A, MONTCLAIR, CA 91763-2213
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55669
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235668906
—
CA
01
—
5663427
NCPDP
CA
01
—
PHY55669
PHARMACY PERMIT
CA
Enumeration date
06/07/2017
Last updated
01/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up