Organization Active NPI

Apple Specialty Pharmacy, LLC

Doing business as Apple Specialty Pharmacy

  • Pharmacy
  • Santa Ana, CA
National Provider Identifier
1053054296
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
APPLE SPECIALTY PHARMACY, LLC
Doing business as
Apple Specialty Pharmacy
Practice address
1211 N. Broadway
Ste. 300
Santa Ana, CA 92701
Phone
(818) 456-0481
Fax
(530) 698-0991
NPI assigned
Apr 15, 2022
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Shahrokh Shawn Ahoubim
Title
Manager
Phone
(818) 456-0481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1211 N. Broadway
Ste. 300
Santa Ana, CA 92701

Mailing address

1211 N Broadway Ste 300
Santa Ana, CA 92701-3411
Phone (818) 456-0481

Other names 1

  • Apple Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701003743 CA Part B Supplier - Pharmacy 4587177647 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory
Tax ID family
Apple Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1053054296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N BROADWAY STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013411",
            "telephone_number": "818-456-0481",
            "fax_number": "530-698-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N. BROADWAY",
            "address_2": "STE. 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "818-456-0481",
            "fax_number": "530-698-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "AHOUBIM",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-456-0481"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.