Hallers Pharmacy and Medical Supply, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HALLERS PHARMACY AND MEDICAL SUPPLY, INC.

Practice address

37323 Fremont Blvd
Fremont, CA 94536-3702

Phone

(510) 797-2772

Fax

(510) 797-4986

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Addresses

Other names 1

• Hallers Pharmacy and Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

These 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

Locations

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"
        }
    ]
}

• Bonnie Huang Hall, M.D. PH.D
• Lauren Hall
• Ali Hallaj-Pour, MD
• Stefan Haller, M.D.
• Hallers LTC Pharmacy, Inc.
• Benjamin Warren Halligan, MD
• Eryvis J Halphen
• Robert Frank Halupka, OD
• Lawrence Ham, PA-C
• Cheyenne Kristine Hambey

• Community/Retail Pharmacy in Fremont, CA
• Providers in Fremont, CA by specialty
• Community/Retail Pharmacy in California

• 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.

Verify at the official NPI Registry.