Healthcare Medical Supplies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55626 Issued in CA

Legal business name

HEALTHCARE MEDICAL SUPPLIES INC

Doing business as

Ezcare Pharmacy

Practice address

1535 W Merced Ave
Suite 100
West Covina, CA 91790-3404

Phone

(626) 587-0400

Fax

(626) 587-0403

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Nilesh Kotadiya

Title

Ceo /Director

Phone

(626) 587-0400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EZCARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

Locations

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1114054954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-587-0400",
            "fax_number": "626-587-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-587-0400",
            "fax_number": "626-587-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "KOTADIYA",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "CEO /DIRECTOR",
        "authorized_official_telephone_number": "626-587-0400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114054954",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0524442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EZCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Hauser, RN
• Anne Hausler-Tungate
• Eric Galen Hawkins, DPT
• Christine Hayashida
• Ruiqi He, LCSW
• Healthy Smiles Family Dental
• Heartland Hospice-West Covina
• Hech Physical Therapy Inc
• Hee Yong Oh MD Inc
• William Hendershott

• Community/Retail Pharmacy in West Covina, CA
• Providers in West Covina, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.