Organization Active NPI

Theresa Pharmacy Inc

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1396034591
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50616 Issued in CA
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

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Mrs. Elise Bich Uyendang Nguyen, RPHNPI 1922734011
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY50616OtherCARETAIL BOARD OF PHARMACY PERMIT
1396034591MedicaidCA

Other names 1

  • ACARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Acare Pharmacy9860 Katella Ave, Anaheim, CA 92804-6418(714) 534-4633 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 assignmentParticipating since Aug 27, 2009

National Provider Directory

National Provider Directory
Tax ID family
2010 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.