Active NPI
Pharma Casa, Inc.
- Community/Retail Pharmacy
- Santa Ana, CA
National Provider Identifier
1487303400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PHARMA CASA, INC.
- Practice address
- 1120 W Warner Ave Unit D2
Santa Ana, CA 92707-3179 - Phone
- (714) 714-0370
- Fax
- (714) 714-0970
- NPI assigned
- Mar 18, 2022
- Last updated
- Oct 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin Ho, N/A
- Title
- President
- Phone
- (714) 714-0370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1120 W Warner Ave Unit D2
Santa Ana, CA 92707-3179
Mailing address
1120 W Warner Ave Unit D2
Santa Ana, CA 92707-3179
Phone (714) 714-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220509001106 | CA | Part B Supplier - Pharmacy | 9830576016 | Practice locations: Santa Ana, CA |
National Provider Directory
National Provider DirectoryLocations
1120 W Warner Ave
Ste D2
Santa Ana, CA 92707
Phone (714) 714-0370
1120 W Warner Ave
Unit F
Santa Ana, CA 92707
Phone (714) 316-8020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664841600000",
"number": "1487303400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W WARNER AVE UNIT D2",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927073179",
"telephone_number": "714-714-0370",
"fax_number": "714-714-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W WARNER AVE UNIT D2",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927073179",
"telephone_number": "714-714-0370",
"fax_number": "714-714-0970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMA CASA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-18",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A",
"authorized_official_last_name": "HO",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-714-0370",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "N/A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.