Active NPI
Hacienda Center Pharmacy
- Community/Retail Pharmacy
- Hacienda Heights, CA
National Provider Identifier
1114717667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HACIENDA CENTER PHARMACY
- Practice address
- 1607 1/4 S Azusa Ave
Hacienda Heights, CA 91745-3830 - Phone
- (626) 900-8862
- Fax
- (626) 414-2372
- NPI assigned
- May 8, 2025
- 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
- Yuanzi Feng
- Title
- Owner
- Phone
- (626) 900-8862
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1607 1/4 S Azusa Ave
Hacienda Heights, CA 91745-3830
Mailing address
1607 1/4 S Azusa Ave
Hacienda Heights, CA 91745-3830
Phone (626) 900-8862
Other names 1
- Super Pharmacy
National Provider Directory
National Provider DirectoryLocations
1607 S Azusa Ave
#14
Hacienda Heights, CA 91745
Phone (626) 900-8862
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
- Rowland Heights, CA
- NPI 1063997435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1114717667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 1/4 S AZUSA AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917453830",
"telephone_number": "626-900-8862",
"fax_number": "626-414-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 1/4 S AZUSA AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917453830",
"telephone_number": "626-900-8862",
"fax_number": "626-414-2372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HACIENDA CENTER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-08",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "FENG",
"authorized_official_first_name": "YUANZI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-900-8862"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Super Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hacienda Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.