Organization Active NPI

CHJ Pharmacare Inc

Doing business as CHJ Pharmacare

  • Long Term Care Pharmacy
  • Garden Grove, CA
National Provider Identifier
1255342838
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY45334 Issued in CA
Legal business name
CHJ PHARMACARE INC
Doing business as
CHJ Pharmacare
Practice address
12841 Western Ave Ste D
Garden Grove, CA 92841-4025
Phone
(714) 379-3080
Fax
(714) 379-3082
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Robert Weber
Title
President
Phone
(714) 379-3080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHY45334 CA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

12841 Western Ave Ste D
Garden Grove, CA 92841-4025

Mailing address

12841 Western Ave
Unit # D
Garden Grove, CA 92841-4025
Phone (714) 379-3080

Other identifiers 2

IdentifierTypeStateIssuer
1995847OtherPK
PHA453340MedicaidCA

Other names 1

  • CHJ PHARMACARE Doing business as

National Provider Directory

National Provider Directory

Locations

12841 Western Ave
Ste D
Garden Grove, CA 92841
Phone (714) 379-3080

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1255342838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12841 WESTERN AVE",
            "address_2": "UNIT # D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414025",
            "telephone_number": "714-379-3080",
            "fax_number": "714-379-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12841 WESTERN AVE STE D",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414025",
            "telephone_number": "714-379-3080",
            "fax_number": "714-379-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHJ PHARMACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-379-3080"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY45334",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA453340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHJ PHARMACARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.