Organization Active NPI

American Healthcare and Pharmacy Inc

  • Community/Retail Pharmacy
  • Colton, CA
National Provider Identifier
1467444059
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55977 Issued in CA
Legal business name
AMERICAN HEALTHCARE AND PHARMACY INC
Practice address
518 W Valley Blvd
Colton, CA 92324-2249
Phone
(909) 422-0444
Fax
(909) 422-0459
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Hejalin Patel
Title
President/Owner
Phone
(909) 422-0444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY55977 CA
Community/Retail Pharmacy 3336C0003X PHY55977 CA Primary
Long Term Care Pharmacy 3336L0003X PHY55977 CA

Addresses

Primary practice location

518 W Valley Blvd
Colton, CA 92324-2249

Mailing address

518 W Valley Blvd
Colton, CA 92324-2249
Phone (909) 422-0444

Other identifiers 2

IdentifierTypeStateIssuer
55977OtherCABOARD OF PHARMACY PERMIT
1467444059MedicaidCA

Other names 1

  • COLTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

518 W Valley Blvd
Colton, CA 92324
Phone (909) 422-0444

Practitioners & affiliated clinicians

Practitioners 8

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": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1467444059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242249",
            "telephone_number": "909-422-0444",
            "fax_number": "909-422-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242249",
            "telephone_number": "909-422-0444",
            "fax_number": "909-422-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTHCARE AND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEJALIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-422-0444"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY55977",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55977",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY55977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "55977",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467444059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.