NPIMap

Organization Active NPI

Altamed Health Service Corpotation

Doing business as Altamed Pharmacy Pasadenna

  • Community/Retail Pharmacy
  • Pasadena, CA
National Provider Identifier
1447653787
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51691 Issued in CA
Legal business name
ALTAMED HEALTH SERVICE CORPOTATION
Doing business as
Altamed Pharmacy Pasadenna
Practice address
1855 N Fair Oaks Ave
Ste 100
Pasadena, CA 91103-1620
Phone
(888) 499-9303
Fax
(626) 398-5848
NPI assigned
Oct 1, 2014
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Mr. Castulo De la Rocha
Title
President & Ceo
Phone
(323) 430-3286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51691 CA Primary

Addresses

Primary practice location

1855 N Fair Oaks Ave
Ste 100
Pasadena, CA 91103-1620

Mailing address

1855 N Fair Oaks Ave
Ste 100
Pasadena, CA 91103-1620
Phone (888) 499-9303

Other identifiers 1

IdentifierTypeStateIssuer
2166536OtherPK

Other names 1

  • ALTAMED PHARMACY PASADENNA Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pharmacy2@chapcare.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Altamed Health Ser117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1855 N Fair Oaks Ave
Ste 100
Pasadena, CA 91103
Phone (626) 296-7710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1447653787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 N FAIR OAKS AVE",
            "address_2": "STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620",
            "telephone_number": "888-499-9303",
            "fax_number": "626-993-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N FAIR OAKS AVE",
            "address_2": "STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620",
            "telephone_number": "888-499-9303",
            "fax_number": "626-398-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMED HEALTH SERVICE CORPOTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "DE LA ROCHA",
        "authorized_official_first_name": "CASTULO",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "323-430-3286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166536",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pharmacy2@chapcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1855 N Fair Oaks Ave Ste 100",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911031620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ALTAMED PHARMACY PASADENNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.