Anaheim Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ANAHEIM PHARMACY, LLC

Practice address

1211 W la Palma Ave Ste 102
Anaheim, CA 92801-2809

Phone

(714) 442-1141

Fax

(714) 442-1142

NPI assigned

Mar 19, 2024

Organization subpart

No

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

Authorized official

Name

Jay Kim

Title

Managing Member

Phone

(909) 464-0300

Specialties & licenses 1

Addresses

Other names 1

• Anaheim Pharmacy (LTC) Doing business as

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1114786241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012809",
            "telephone_number": "714-442-1141",
            "fax_number": "714-442-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012809",
            "telephone_number": "714-442-1141",
            "fax_number": "714-442-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "909-464-0300"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Pharmacy (LTC)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anaheim Pharmacy (LTC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anaheim Memorial Hospital Emergency Physicians Medical Group
• Anaheim Memorial Medical Center
• Anaheim Orthodontics and Family Dentistry
• Anaheim Orthotics and Orthopedic Appliances
• Anaheim Palace
• Anaheim Pharmacy, LLC
• Anaheim Physical Therapy and Aquatic Rehab
• Anaheim Plaza Pharmacy Inc
• Anaheim Point Healthcare & Wellness Centre LP
• Anaheim Point Healthcare & Wellness Centre, LP

• Long Term Care Pharmacy in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.