Organization Active NPI

House of Medicine Inc

Doing business as Discount Pharmacy

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1205988094
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44468 Issued in CA
Legal business name
HOUSE OF MEDICINE INC
Doing business as
Discount Pharmacy
Practice address
1150 N Harbor Blvd
Ste 136
Anaheim, CA 92801-2400
Phone
(714) 520-9085
Fax
(714) 517-0400
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Hahmud Lebada
Title
Pres
Phone
(714) 520-9085

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY44468 CA Primary

Addresses

Primary practice location

1150 N Harbor Blvd
Ste 136
Anaheim, CA 92801-2400

Mailing address

2530 Brennen Way
Fullerton, CA 92835-4217

Other identifiers 2

IdentifierTypeStateIssuer
0544266OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA44468MedicaidCA

Other names 1

  • DISCOUNT PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1150 N Harbor Blvd
Ste 136
Anaheim, CA 92801
Phone (714) 520-9085

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1205988094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BRENNEN WAY",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N HARBOR BLVD",
            "address_2": "STE 136",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012400",
            "telephone_number": "714-520-9085",
            "fax_number": "714-517-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "LEBADA",
        "authorized_official_first_name": "HAHMUD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "714-520-9085"
    },
    "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": "PHY44468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0544266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA44468",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.