Organization Active NPI

Sean Y Chiu

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1013153402
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46148 Issued in CA
Legal business name
SEAN Y CHIU
Practice address
1834 W Lincoln Ave Ste N
Anaheim, CA 92801-5425
Phone
(714) 687-9090
Fax
(714) 687-9092
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Mrs. Francine Chiu
Title
Office Manager
Phone
(714) 687-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY46148 CA Primary

Addresses

Primary practice location

1834 W Lincoln Ave Ste N
Anaheim, CA 92801-5425

Mailing address

1834 W Lincoln Ave Ste N
Anaheim, CA 92801-5425
Phone (714) 687-9090

Other identifiers 1

IdentifierTypeStateIssuer
PHA461480MedicaidCA

Other names 1

  • Kings Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1834 W Lincoln Ave
Ste N
Anaheim, CA 92801
Phone (714) 687-9090

Practitioners & affiliated clinicians

Practitioners 1

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": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1013153402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 W LINCOLN AVE STE N",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015425",
            "telephone_number": "714-687-9090",
            "fax_number": "714-687-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 W LINCOLN AVE STE N",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015425",
            "telephone_number": "714-687-9090",
            "fax_number": "714-687-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN Y CHIU",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-687-9090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA461480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.