Puente Hills Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY35041 Issued in CA

Legal business name

PUENTE HILLS PHARMACY

Practice address

1850 S Azusa Ave
Suite 101
Hacienda Heights, CA 91745-6813

Phone

(626) 912-3311

NPI assigned

Feb 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raymond Wong, PHARM.D.NPI 1134256704

Title

Pharmacist

Phone

(626) 912-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Wong, PHARM.D.

  • Durable Medical Equipment & Medical Supplies
  • Hacienda Heights, CA
  • NPI 1134256704
  NPD (past) Authorized official
• Eva Han, PHARM.D.

  • Pharmacist
  • Hacienda Heights, CA
  • NPI 1326319799
  NPD (past)
• Hanna Hsu

  • Pharmacist
  • Hacienda Heights, CA
  • NPI 1033821194
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1003943739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 101",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-912-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 101",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-912-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTE HILLS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "626-912-3311",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY35041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA350410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Prado
• Primacare Chiropractic Center, Edward Chu DC Inc.
• Pro Rehab Clinic Inc.
• Puente Hills Dental Group
• Puente Hills Eye Care Center, Inc.
• Monica Pulido
• Trevor Tuan Quach
• Alyssa Marie Quezon
• Carlos Heriberto Quinonez, RDHAP, BS
• Gardenia Quintero

• Community/Retail Pharmacy in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.