NPIMap

Organization Active NPI

Western University of Health Sciences

Doing business as Western University Pharmacy

  • Pharmacy
  • Pomona, CA
National Provider Identifier
1295051779
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50259 Issued in CA
Legal business name
WESTERN UNIVERSITY OF HEALTH SCIENCES
Doing business as
Western University Pharmacy
Practice address
795 E 2ND St Ste 1
Pomona, CA 91766-2007
Phone
(909) 706-3730
Fax
(909) 706-3731
NPI assigned
Apr 9, 2010
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN UNIVERSITY OF HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Preeti Kotha, PHARMDNPI 1154588663
Title
Pharmacist
Phone
(909) 706-3765

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50259 CA Primary
Clinic Pharmacy 3336C0002X 50259 CA
Community/Retail Pharmacy 3336C0003X 50259 CA

Addresses

Primary practice location

795 E 2ND St Ste 1
Pomona, CA 91766-2007

Mailing address

795 E 2ND St Ste 1
Pomona, CA 91766-2007
Phone (909) 706-3730

Other names 1

  • Western University Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050728000981 CA Part B Supplier - Clinic/Group Practice 0648208991 Receives reassigned benefits from 83 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pomona, CA; Moreno Valley, CA; Montclair, CA; Los Angeles, CA; Colton, CA; Chino, CA
O20201223000967 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0648208991 Practice locations: Pomona, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Cornerstone Progressive

Locations

795 E 2nd St
#2
Pomona, CA 91766
Phone (909) 706-3749

795 E 2nd St
Ste 1
Pomona, CA 91766
Phone (909) 706-3730

795 E 2nd St
Ste 4
Pomona, CA 91766
Phone (909) 706-3779

887 E 2nd St
#C
Pomona, CA 91766
Phone (909) 865-2565

8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1295051779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E 2ND ST STE 1",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662007",
            "telephone_number": "909-706-3730",
            "fax_number": "909-706-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E 2ND ST STE 1",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662007",
            "telephone_number": "909-706-3730",
            "fax_number": "909-706-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "enumeration_date": "2010-04-09",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "KOTHA",
        "authorized_official_first_name": "PREETI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "909-706-3765",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "50259",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "50259",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western University Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western University Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.