Organization Active NPI

Ace 4Q Inc

Doing business as Farmacia Anaheim

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1295441533
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Ace 4Q Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.