MEDICARE: CHRONIC CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	54355	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2112329	OTHER		PK

General Provider Information

NPI Number	:	1881712404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRONIC CARE INC

Provider Business Mailing Address
First Line	:	18011 MITCHELL S
Second Line	:	SUITE A
City	:	IRVINE
State	:	CA
Zip	:	92614-6863
Country	:	US
Telephone Number	:	844-295-4840
Fax Number	:	844-295-4839

Provider Business Practice Location Address
First Line	:	300 N LONE HILL AVE
Second Line	:
City	:	SAN DIMAS
State	:	CA
Zip	:	91773-1741
Country	:	US
Telephone Number	:	844-295-4840
Fax Number	:	844-295-4839

Authorized Official
Title or Position	:	VP STRATEGY BUS DEV
Name	:	PAMELA RIPPENS
Credential	:
Telephone Number	:	978-208-5402

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	09/19/2025

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Directions to “CHRONIC CARE INC ” Practice Location

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