Organization Active NPI

Hacienda Center Pharmacy

  • Community/Retail Pharmacy
  • Hacienda Heights, CA
National Provider Identifier
1114717667
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Yuanzi FengNPI 1063997435
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.