Active NPI
U.D. Alpha Pharmacy Inc.
- Community/Retail Pharmacy
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY44181
- Legal business name
- U.D. ALPHA PHARMACY INC.
- Practice address
- 515 S Beach Blvd Ste Ab
Anaheim, CA 92804-1812 - Phone
- (714) 821-8959
- Fax
- (714) 821-4261
- NPI assigned
- Feb 28, 2006
- 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. Dinesh R. Patel, RPH
- Title
- President
- Phone
- (714) 821-8959
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0794920001 | CA | |
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY44181 | CA | Primary |
| Long Term Care Pharmacy | 3336L0003X | PHY44181 | CA |
Addresses
Primary practice location
515 S Beach Blvd Ste Ab
Anaheim, CA 92804-1812
Mailing address
515 S Beach Blvd
A and B
Anaheim, CA 92804-1812
Phone (714) 821-8959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA44181 | Medicaid | CA | |
| 0794920001 | Other | MEDICARE PTAN | |
| 0502511 | Other | NCPDP |
Other names 1
- ALPHA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930065397 | CA | DME Supplier - Pharmacy | 7113046053 | Practice locations: Anaheim, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Alpha Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Anaheim, CA
- NPI 1275268716
Locations
515 S Beach Blvd
Ste Ab
Anaheim, CA 92804
Phone (714) 821-8959
515 S Beach Blvd
Ste A
Anaheim, CA 92804
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
- Placentia, CA
- NPI 1396712147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1073589982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S BEACH BLVD",
"address_2": "A AND B",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041812",
"telephone_number": "714-821-8959",
"fax_number": "714-821-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S BEACH BLVD STE AB",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041812",
"telephone_number": "714-821-8959",
"fax_number": "714-821-4261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U.D. ALPHA PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DINESH",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-821-8959",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "0794920001",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY44181",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY44181",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA44181",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0794920001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "0502511",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALPHA PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ALPHA 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 Jun 10, 2022; 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.