Active NPI
Medella Pharmacy Inc
- Community/Retail Pharmacy
- Hacienda Heights, CA
National Provider Identifier
1306205380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 54163
- Legal business name
- MEDELLA PHARMACY INC
- Practice address
- 15578 Gale Ave
Hacienda Heights, CA 91745-1513 - Phone
- (626) 333-1998
- Fax
- (626) 333-1668
- NPI assigned
- Feb 18, 2016
- 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
- Ms. Helen H Xu, PHARM D
- Title
- President/ Pharmacist in Charge
- Phone
- (626) 333-1998
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY 54163 | CA | Primary |
Addresses
Primary practice location
15578 Gale Ave
Hacienda Heights, CA 91745-1513
Mailing address
15578 Gale Ave
Hacienda Heights, CA 91745-1513
Phone (626) 333-1998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY 54163 | Other | CA | BOARD OF PHARMACY RETAIL PERMIT |
Other names 1
- MEDELLA PHARMACY
National Provider Directory
National Provider DirectoryLocations
15578 Gale Ave
Hacienda Heights, CA 91745
Phone (626) 333-1998
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hacienda Heights, CA
- NPI 1417317975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456963200000",
"number": "1306205380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15578 GALE AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917451513",
"telephone_number": "626-333-1998",
"fax_number": "626-333-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15578 GALE AVE",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917451513",
"telephone_number": "626-333-1998",
"fax_number": "626-333-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDELLA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-18",
"last_updated": "2016-03-03",
"status": "A",
"authorized_official_last_name": "XU",
"authorized_official_first_name": "HELEN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT/ PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "626-333-1998",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY 54163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY RETAIL PERMIT",
"identifier": "PHY 54163",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDELLA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hacienda Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.