Active NPI
Healing Pharmacy Inc
- Community/Retail Pharmacy
- Westminster, CA
National Provider Identifier
1053834028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY55590
- Legal business name
- HEALING PHARMACY INC
- Practice address
- 7840 Westminster Blvd
Westminster, CA 92683 - Phone
- (714) 622-5208
- NPI assigned
- Jul 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Henry Pham
- Title
- Ceo
- Phone
- (714) 622-5208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY55590 | CA | Primary |
Addresses
Primary practice location
7840 Westminster Blvd
Westminster, CA 92683
Mailing address
7840 Westminster Blvd
Westminster, CA 92683
Phone (714) 622-5208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A8889973 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191104002944 | CA | Part B Supplier - Pharmacy | 1557693900 | Practice locations: Westminster, CA |
National Provider Directory
National Provider DirectoryLocations
7840 Westminster Blvd
Westminster, CA 92683
Phone (714) 622-5208
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Westminster, CA
- NPI 1770852998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570665600000",
"number": "1053834028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7840 WESTMINSTER BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92683",
"telephone_number": "714-622-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 WESTMINSTER BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92683",
"telephone_number": "714-622-5208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-21",
"last_updated": "2019-10-10",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-622-5208",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY55590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A8889973",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 10, 2019; 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.