Organization Active NPI

U.D. Alpha Pharmacy Inc.

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1073589982
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44181 Issued in CA
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

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Mr. Dinesh R. Patel, RPHNPI 1396712147
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA44181MedicaidCA
0794920001OtherMEDICARE PTAN
0502511OtherNCPDP

Other names 1

  • ALPHA PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065397 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7113046053 Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory
Tax ID family
Alpha 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.

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.

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.

Verify at the official NPI Registry.