Active NPI
Ace 4Q Inc
Doing business as Farmacia Anaheim
- Community/Retail Pharmacy
- Anaheim, CA
National Provider Identifier
1295441533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ACE 4Q INC
- Doing business as
- Farmacia Anaheim
- Practice address
- 941 S Euclid St
Anaheim, CA 92802-1583 - Phone
- (714) 215-4740
- NPI assigned
- Jan 30, 2023
- Last updated
- Jan 30, 2023
- 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
- Kamal Jawad
- Title
- Owner
- Phone
- (714) 540-2882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
941 S Euclid St
Anaheim, CA 92802-1583
Mailing address
941 S Euclid St
Anaheim, CA 92802-1583
Phone (714) 215-4740
Other names 1
- Farmacia Anaheim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210714001432 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618157314 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anaheim, CA; Santa Ana, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Farmacia Familiar
- Community/Retail Pharmacy
- Santa Ana, CA
- NPI 1902122419
O20210714001432
National Provider Directory
National Provider Directory- Tax ID family
- Ace 4Q Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Empire Infusion Pharmacy
- Community/Retail Pharmacy
- Riverside, CA
- NPI 1629613260
Locations
941 S Euclid St
Anaheim, CA 92802
Phone (714) 215-4740
1175 Baker St
Ste A6
Costa Mesa, CA 92626
Phone (714) 979-9791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1295441533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928021583",
"telephone_number": "714-215-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 S EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928021583",
"telephone_number": "714-215-4740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACE 4Q INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "JAWAD",
"authorized_official_first_name": "KAMAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-540-2882"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmacia Anaheim",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.