Anaheim Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ANAHEIM PHARMACY, LLC

Doing business as

Anaheim Pharmacy (LTC)

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

Last updated

Sep 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay KimNPI 1508130840

Title

Managing Member

Phone

(909) 464-0300

Specialties & licenses 1

Addresses

Other names 1

• Anaheim Pharmacy (LTC) Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Kim, PHARMD

  • Pharmacist
  • Chino, CA
  • NPI 1508130840
  Authorized official Same address or phone

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 (Harbor Heights Senior Living)
• Anaheim Pharmacy, LLC (Anaheim Pharmacy)
• Anaheim Physical Therapy and Aquatic Rehab (Magnolia Physical Therapy)
• Anaheim Plaza Pharmacy Inc (Anaheim Medical Plaza Pharmacy)
• Anaheim Point Healthcare & Wellness Centre LP (The Abby Pavilion Healthcare Center of Anaheim)
• Anaheim Point Healthcare & Wellness Centre, LP (The Abby Pavilion Healthcare Center of Anaheim)

• 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.