Organization Active NPI

Pharma Casa, Inc.

  • Community/Retail Pharmacy
  • Santa Ana, CA
National Provider Identifier
1487303400
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20220509001106 CA Part B Supplier - Pharmacy 9830576016 Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.