Organization Active NPI

Medella Pharmacy Inc

  • Community/Retail Pharmacy
  • Hacienda Heights, CA
National Provider Identifier
1306205380
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 54163 Issued in CA
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

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Ms. Helen H Xu, PHARM DNPI 1417317975
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY 54163OtherCABOARD OF PHARMACY RETAIL PERMIT

Other names 1

  • MEDELLA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.