NPIMap

Organization Active NPI

Polaris Specialty Pharmacy LLC

Doing business as Polaris Specialty RX

  • Long Term Care Pharmacy
  • Covina, CA
National Provider Identifier
1346065141
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
POLARIS SPECIALTY PHARMACY LLC
Doing business as
Polaris Specialty RX
Practice address
1010 E Arrow Hwy
Covina, CA 91724-1020
Phone
(626) 209-8169
Fax
(626) 209-8171
NPI assigned
Nov 18, 2024
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Regina Hunt
Title
Corporate Director of Compliance, C
Phone
(800) 589-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1010 E Arrow Hwy
Covina, CA 91724-1020

Mailing address

2900 NW 60TH St
Fort Lauderdale, FL 33309-1774
Phone (800) 589-9747

Other names 1

  • Polaris Specialty RX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Pharmacy Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1010 E Arrow Hwy
Covina, CA 91724
Phone (626) 209-8169

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1346065141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NW 60TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091774",
            "telephone_number": "800-589-9747",
            "fax_number": "954-923-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241020",
            "telephone_number": "626-209-8169",
            "fax_number": "626-209-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE, C",
        "authorized_official_telephone_number": "800-589-9747"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polaris Specialty RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.