Active NPI
Hospicare Pharmacy Inland Empire
- Long Term Care Pharmacy
- Perris, CA
National Provider Identifier
1346381076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- HOSPICARE PHARMACY INLAND EMPIRE
- Practice address
- 425 W Rider St
Suite B2
Perris, CA 92571-3230 - Phone
- (951) 943-6303
- Fax
- (951) 943-1154
- NPI assigned
- Feb 8, 2007
- Last updated
- Oct 26, 2021
- 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
- Dr. Jensen Chang, PHARM.D.
- Title
- Ceo
- Phone
- (818) 736-5828
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 |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
425 W Rider St
Suite B2
Perris, CA 92571-3230
Mailing address
3000 N Hollywood Way
Ste 103
Burbank, CA 91505-1026
Phone (818) 736-5828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346381076 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
425 W Rider St
Ste B2
Perris, CA 92571
Phone (951) 943-6303
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Burbank, CA
- NPI 1407922925
-
- Pharmacist
- Perris, CA
- NPI 1639998487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1346381076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N HOLLYWOOD WAY",
"address_2": "STE 103",
"city": "BURBANK",
"state": "CA",
"postal_code": "915051026",
"telephone_number": "818-736-5828",
"fax_number": "818-736-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W RIDER ST",
"address_2": "SUITE B2",
"city": "PERRIS",
"state": "CA",
"postal_code": "925713230",
"telephone_number": "951-943-6303",
"fax_number": "951-943-1154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICARE PHARMACY INLAND EMPIRE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2021-10-26",
"certification_date": "2021-10-14",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "JENSEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-736-5828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346381076",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perris, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.