Organization Active NPI

Hospicare Pharmacy Inland Empire

  • Long Term Care Pharmacy
  • Perris, CA
National Provider Identifier
1346381076
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Dr. Jensen Chang, PHARM.D.NPI 1407922925
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1346381076MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.