Pontus Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PONTUS HEALTHCARE INC

Practice address

1203 N Avalon Blvd
Suite a
Wilmington, CA 90744-2646

Phone

(310) 549-1000

Fax

(310) 549-7000

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Lilia Xu, PHARM D.

Title

Ceo

Phone

(626) 791-7595

Specialties & licenses 1

Addresses

Other names 1

• 986 Pharmacy #8011 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1366084063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N AVALON BLVD",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442646",
            "telephone_number": "310-549-1000",
            "fax_number": "310-549-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N AVALON BLVD",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442646",
            "telephone_number": "310-549-1000",
            "fax_number": "310-549-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTUS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-11-18",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "LILIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-791-7595",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8011",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.