Organization Active NPI

Wilshire Pharmcare, Inc.

  • Home Infusion Therapy Pharmacy
  • Anaheim, CA
National Provider Identifier
1447253448
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
WILSHIRE PHARMCARE, INC.
Practice address
4420 E Miraloma Ave Ste F
Anaheim, CA 92807-1838
Phone
(714) 701-1192
Fax
(714) 701-1195
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Samel K Lee, PHARMD
Title
President/Ceo
Phone
(949) 348-7900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

4420 E Miraloma Ave Ste F
Anaheim, CA 92807-1838

Mailing address

26611 Cabot Rd. Ste B
Laguna Hills, CA 92653-7018
Phone (949) 348-7900

Other names 1

  • Advanced Pharmacy Solutions NO2 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190709001828 CA Part B Supplier - Pharmacy 5294097879 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anaheim, CA; Laguna Hills, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
986 Infusion Pharmacy 1 Inc2 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

4420 E Miraloma Ave
Ste F
Anaheim, CA 92807
Phone (714) 701-1192

26611 Cabot Rd
Ste B
Laguna Hills, CA 92653
Phone (949) 348-7900

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1447253448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26611 CABOT RD. STE B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537018",
            "telephone_number": "949-348-7900",
            "fax_number": "714-701-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 E MIRALOMA AVE STE F",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071838",
            "telephone_number": "714-701-1192",
            "fax_number": "714-701-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE PHARMCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAMEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "949-348-7900",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pharmacy Solutions NO2",
            "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 2, 2025; 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.