Active NPI
Hallers Pharmacy and Medical Supply, Inc.
Doing business as Hallers Pharmacy and Medical Supply
- Community/Retail Pharmacy
- Fremont, CA
National Provider Identifier
1215073259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HALLERS PHARMACY AND MEDICAL SUPPLY, INC.
- Doing business as
- Hallers Pharmacy and Medical Supply
- Practice address
- 37323 Fremont Blvd
Fremont, CA 94536-3702 - Phone
- (510) 797-2772
- Fax
- (510) 797-4986
- NPI assigned
- Jan 29, 2007
- Last updated
- Mar 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasmine Basrai
- Title
- Ceo
- Phone
- (510) 797-2772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
37323 Fremont Blvd
Fremont, CA 94536-3702
Mailing address
37323 Fremont Blvd
Fremont, CA 94536-3702
Phone (510) 797-2772
Other names 1
- Hallers Pharmacy and Medical Supply
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190920001058 | CA | DME Supplier - Pharmacy | 4082944871 | Practice locations: Fremont, CA |
| O20200110002089 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4082944871 | Practice locations: Fremont, CA |
| O20200514001550 | CA | Part B Supplier - Independent Clinical Laboratory | 4082944871 | Practice locations: Fremont, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Haller's Pharmacy and Medical Suppl | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) … | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
37323 Fremont Blvd
Fremont, CA 94536
Phone (510) 797-2772
Practitioners & affiliated clinicians
Practitioners 14
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.
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- Pharmacist
- Fremont, CA
- NPI 1982115184
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- Pharmacist
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- Pharmacist
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- NPI 1598065328
-
- Pharmacist
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- NPI 1073512075
-
- Pharmacist
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- NPI 1376911016
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fremont, CA
- NPI 1679150353
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- Pharmacist
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- NPI 1447715925
-
- Pharmacist
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- NPI 1790431328
-
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- NPI 1316399363
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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- NPI 1629350731
-
- Family Medicine Physician
- Calabasas, CA
- NPI 1093058463
-
- Pharmacist
- Fremont, CA
- NPI 1912563784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551744000000",
"number": "1215073259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37323 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363702",
"telephone_number": "510-797-2772",
"fax_number": "510-797-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37323 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363702",
"telephone_number": "510-797-2772",
"fax_number": "510-797-4986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALLERS PHARMACY AND MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2019-03-05",
"status": "A",
"authorized_official_last_name": "BASRAI",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-797-2772"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hallers Pharmacy and Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.