Organization Active NPI

Professional RX Inc

Doing business as Professional Pharmacy Westminster

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1013905678
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PROFESSIONAL RX INC
Doing business as
Professional Pharmacy Westminster
Practice address
7631 Westminster Blvd
Suite D
Westminster, CA 92683-3990
Phone
(714) 893-2464
Fax
(714) 893-4255
NPI assigned
Oct 7, 2005
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Mrs. Denise T Le, PHARM D
Title
President/Ceo/Cfo/Director
Phone
(714) 893-2464

Specialties & licenses 1

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

Addresses

Primary practice location

7631 Westminster Blvd
Suite D
Westminster, CA 92683-3990

Mailing address

7361 Westminster Blvd
Suite D
Westminster, CA 92683-3990
Phone (714) 893-2464

Other identifiers 2

IdentifierTypeStateIssuer
1013905678MedicaidCA
PHY57949OtherCABOARD OF PHARMACY

Other names 1

  • PROFESSIONAL PHARMACY WESTMINSTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210628001273 CA DME Supplier - Pharmacy 4284035304 Practice locations: Westminster, CA
O20210923003802 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4284035304 Practice locations: Santa Ana, CA; Westminster, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Professional RX, Inc7631 Westminster Blvd, Westminster, CA 92683-3990(714) 893-2464 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Enteral Nutrients|Nebulizer Equipment and/or Supplies|Surgic… Does not accept assignmentParticipating since Mar 12, 2021

National Provider Directory

National Provider Directory

Locations

7361 Westminster Blvd
Ste D
Westminster, CA 92683

7631 Westminster Blvd
Ste D
Westminster, CA 92683
Phone (714) 893-2464

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1013905678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7361 WESTMINSTER BLVD",
            "address_2": "SUITE D",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833990",
            "telephone_number": "714-893-2464",
            "fax_number": "714-893-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 WESTMINSTER BLVD",
            "address_2": "SUITE D",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833990",
            "telephone_number": "714-893-2464",
            "fax_number": "714-893-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/DIRECTOR",
        "authorized_official_telephone_number": "714-893-2464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013905678",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY57949",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL PHARMACY WESTMINSTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.