Organization Active NPI

KM2 Healthcare Inc

  • Community/Retail Pharmacy
  • Arcadia, CA
National Provider Identifier
1003322835
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Aug 20, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
59544OtherCABOP

Other names 1

  • 986 Pharmacy #8029 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2308512KM2 Healthcare Inc846 W Duarte Rd, Arcadia, CA 91007Certificate of waiverJul 29, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
986 Pharmacy #8029846 W Duarte Rd, Arcadia, CA 91007-7523(626) 348-8155 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs Accepts assignmentParticipating since Aug 30, 2024

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.