Active NPI
KM2 Healthcare Inc
- Community/Retail Pharmacy
- Arcadia, CA
National Provider Identifier
1003322835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KM2 HEALTHCARE INC
- Practice address
- 846 W. Duarte Rd
Arcadia, CA 91007-7523 - Phone
- (626) 348-8155
- Fax
- (626) 461-5011
- NPI assigned
- Dec 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Minh Chau, PHARM D
- Title
- Ceo
- Phone
- (626) 348-8155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
846 W. Duarte Rd
Arcadia, CA 91007-7523
Mailing address
846 W. Duarte Rd
Arcadia, CA 91007-7523
Phone (626) 348-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59544 | Other | CA | BOP |
Other names 1
- 986 Pharmacy #8029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180409002669 | CA | Part B Supplier - Pharmacy | 7315200144 | Practice locations: Santa Ana, CA |
| O20240930001785 | CA | DME Supplier - Pharmacy | 0244761401 | Practice locations: Arcadia, CA |
| O20241104003304 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0244761401 | Practice locations: Arcadia, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2308512 | KM2 Healthcare Inc | Certificate of waiver | Jul 29, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| 986 Pharmacy #8029 | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
846 W Duarte Rd
Arcadia, CA 91007
Phone (626) 348-8155
2800 W Warner Ave
Ste B
Santa Ana, CA 92704
Phone (714) 852-3384
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Arcadia, CA
- NPI 1033948518
-
- Pharmacist
- Westminster, CA
- NPI 1598084402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1003322835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 W. DUARTE RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077523",
"telephone_number": "626-348-8155",
"fax_number": "626-461-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "846 W. DUARTE RD",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077523",
"telephone_number": "626-348-8155",
"fax_number": "626-461-5011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KM2 HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-15",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "CHAU",
"authorized_official_first_name": "MINH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-348-8155",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP",
"identifier": "59544",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "986 Pharmacy #8029",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.