Anaheim Hills Medical Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

43794 Issued in CA

Legal business name

ANAHEIM HILLS MEDICAL PHARMACY

Practice address

500 S Anaheim Hills Rd Ste 100
Ste 100
Anaheim, CA 92807-4761

Phone

(714) 279-1111

Fax

(714) 279-1115

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mojgan Rezaei, PHARM.D

Title

Owner

Phone

(714) 279-1111

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ANAHEIM HILLS MEDICAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1184639734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 100",
            "address_2": "STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-279-1111",
            "fax_number": "714-279-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD STE 100",
            "address_2": "STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074761",
            "telephone_number": "714-279-1111",
            "fax_number": "714-279-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM HILLS MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "REZAEI",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-279-1111",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "43794",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA43794",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANAHEIM HILLS MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anaheim Health Medical Group
• Anaheim Healthcare Center LLC
• Anaheim Hills Dialysis Center LLC
• Anaheim Hills Family Optometry Inc
• Anaheim Hills Medical Imaging LLC
• Anaheim Hills Pediatric Dental Practice
• Anaheim Hills Pediatric Therapy Inc.
• Anaheim Hills Podiatry Group
• Anaheim Hills Psychological Services
• Anaheim Hills Speech & Language Center. Inc.

• All providers in Anaheim, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.