Organization Active NPI

Orlandcare Pharmacy and Medical Supply

  • Community/Retail Pharmacy
  • Orland, CA
National Provider Identifier
1487087490
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ORLANDCARE PHARMACY AND MEDICAL SUPPLY
Practice address
21 E Walker St
Orland, CA 95963-1581
Phone
(530) 865-4688
Fax
(530) 865-4699
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Mr. Andrewphilip Chukwujiekwu MgbamNPI 1518240142
Title
Ceo/Owner
Phone
(530) 865-4688

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 51531 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

21 E Walker St
Orland, CA 95963-1581

Mailing address

21 E Walker St
Orland, CA 95963-1581
Phone (530) 865-4688

Other identifiers 1

IdentifierTypeStateIssuer
3121540MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223000667 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5698187201 Practice locations: Orland, CA

National Provider Directory

National Provider Directory

Locations

61 E Walker St
Orland, CA 95963
Phone (530) 865-4688

21 E Walker St
Orland, CA 95963
Phone (530) 865-4688

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": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1487087490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E WALKER ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631581",
            "telephone_number": "530-865-4688",
            "fax_number": "530-865-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E WALKER ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959631581",
            "telephone_number": "530-865-4688",
            "fax_number": "530-865-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDCARE PHARMACY AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "MGBAM",
        "authorized_official_first_name": "ANDREWPHILIP",
        "authorized_official_middle_name": "CHUKWUJIEKWU",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "530-865-4688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "51531",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.