Four Horsemen Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

FOUR HORSEMEN PHARMACY INC

Doing business as

NextDoor Rx

Practice address

9922 Katella Ave Ste P
Anaheim, CA 92804-6419

Phone

(714) 636-3397

NPI assigned

Sep 14, 2023

Organization subpart

No

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

Authorized official

Name

Jonathan Steven Wolk

Title

Ceo

Phone

(310) 738-3337

Specialties & licenses 2

Addresses

Other names 1

• NextDoor Rx Doing business as

Locations

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1194502823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 KATELLA AVE STE P",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 KATELLA AVE STE P",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046419",
            "telephone_number": "714-636-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR HORSEMEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "WOLK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-738-3337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextDoor Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.