Organization Active NPI

WT Healthcare Inc

  • Community/Retail Pharmacy
  • Alhambra, CA
National Provider Identifier
1215031265
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WT HEALTHCARE INC
Practice address
103 N Garfield Ave.
Suite D
Alhambra, CA 91801-3555
Phone
(626) 576-0890
Fax
(626) 576-0850
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Lilia Y Xu, PHARM. D.NPI 1316343932
Title
Ceo
Phone
(626) 576-0890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

103 N Garfield Ave.
Suite D
Alhambra, CA 91801-3555

Mailing address

103 N Garfield Ave.
Suite D
Alhambra, CA 91801-3555
Phone (626) 576-0890

Other names 1

  • 986 Pharmacy #8013 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240516003949 CA DME Supplier - Pharmacy 5597106831 Practice locations: Alhambra, CA
O20250604002415 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5597106831 Practice locations: Alhambra, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2296399986 Pharmacy #8013103 N Garfield Ave #D, Alhambra, CA 91801Certificate of waiverDec 26, 2027

National Provider Directory

National Provider Directory

Locations

103 N Garfield Ave
Ste D
Alhambra, CA 91801
Phone (626) 576-0890

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1215031265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE.",
            "address_2": "SUITE D",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013555",
            "telephone_number": "626-576-0890",
            "fax_number": "626-576-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N GARFIELD AVE.",
            "address_2": "SUITE D",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013555",
            "telephone_number": "626-576-0890",
            "fax_number": "626-576-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WT HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-576-0890",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8013",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.