Organization Active NPI

HL Pharmacy

  • Pharmacy
  • Long Beach, CA
National Provider Identifier
1396119830
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HL PHARMACY
Practice address
705 E Anaheim St
Long Beach, CA 90813-3507
Phone
(562) 599-3000
Fax
(562) 599-3001
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Hali Ngochieu HuynhNPI 1184948382
Title
Pic
Phone
(714) 327-1884

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 Primary
Community/Retail Pharmacy 3336C0003X PHY55917 CA

Addresses

Primary practice location

705 E Anaheim St
Long Beach, CA 90813-3507

Mailing address

705 E Anaheim St
Long Beach, CA 90813-3507
Phone (562) 599-3000

Other identifiers 2

IdentifierTypeStateIssuer
2155484OtherPK
1396119830MedicaidCA

Other names 1

  • Spectrum Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606003094 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0749545044 Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

1432 Atlantic Ave
Long Beach, CA 90813

705 E Anaheim St
Long Beach, CA 90813
Phone (562) 599-3000

837 E Anaheim St
Long Beach, CA 90813
Phone (562) 559-3000

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1396119830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133507",
            "telephone_number": "562-599-3000",
            "fax_number": "562-599-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133507",
            "telephone_number": "562-599-3000",
            "fax_number": "562-599-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "HALI",
        "authorized_official_middle_name": "NGOCHIEU",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "714-327-1884"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55917",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396119830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.