Active NPI
Theresa Pharmacy Inc
- Community/Retail Pharmacy
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY50616
- Legal business name
- THERESA PHARMACY INC
- Practice address
- 9860 Katella Ave
Anaheim, CA 92804-6418 - Phone
- (714) 534-4633
- Fax
- (714) 534-2889
- NPI assigned
- Mar 29, 2011
- 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
- Mrs. Elise Bich Uyendang Nguyen, RPH
- Title
- President/Pic
- Phone
- (714) 534-4633
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY50616 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY50616 | CA | Primary |
Addresses
Primary practice location
9860 Katella Ave
Anaheim, CA 92804-6418
Mailing address
9860 Katella Ave
Anaheim, CA 92804-6418
Phone (714) 534-4633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY50616 | Other | CA | RETAIL BOARD OF PHARMACY PERMIT |
| 1396034591 | Medicaid | CA |
Other names 1
- ACARE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121231000108 | CA | DME Supplier - Pharmacy | 0749480663 | Practice locations: Anaheim, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Acare Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- 2010 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Westminster, CA
- NPI 1013088244
Locations
9860 Katella Ave
Anaheim, CA 92804
Phone (714) 534-4633
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Anaheim, CA
- NPI 1922734011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1396034591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9860 KATELLA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046418",
"telephone_number": "714-534-4633",
"fax_number": "714-534-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9860 KATELLA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928046418",
"telephone_number": "714-534-4633",
"fax_number": "714-534-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERESA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-29",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "ELISE",
"authorized_official_middle_name": "BICH UYENDANG",
"authorized_official_title_or_position": "PRESIDENT/PIC",
"authorized_official_telephone_number": "714-534-4633",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY50616",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY50616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETAIL BOARD OF PHARMACY PERMIT",
"identifier": "PHY50616",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396034591",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.