Active NPI
Express Health Pharmacy
Doing business as Express Pharmacy#4
- Pharmacy
- Wasco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- EXPRESS HEALTH PHARMACY
- Doing business as
- Express Pharmacy#4
- Practice address
- 650 F St
Wasco, CA 93280-2018 - Phone
- (661) 240-5900
- Fax
- (661) 240-5901
- NPI assigned
- Aug 26, 2011
- Last updated
- Jan 13, 2020
- 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
- Iskander Hussein
- Title
- Owner
- Phone
- (661) 343-8855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | 50729 | CA |
Addresses
Primary practice location
650 F St
Wasco, CA 93280-2018
Mailing address
Express Pharmacy Headquarters
825 Central Valley Hwy
Shafter, CA 93263
Phone (661) 746-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2131825 | Other | PK |
Other names 1
- EXPRESS PHARMACY#4
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161012001680 | CA | DME Supplier - Pharmacy | 8022306703 | Practice locations: Wasco, CA |
| O20161213002065 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022306703 | Practice locations: Wasco, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Express Health Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Wasco, CA
- NPI 1417764945
Locations
650 F St
Wasco, CA 93280
Phone (661) 240-5900
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.
-
- Pharmacist
- Shafter, CA
- NPI 1518333517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578873600000",
"number": "1497035083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EXPRESS PHARMACY HEADQUARTERS",
"address_2": "825 CENTRAL VALLEY HWY",
"city": "SHAFTER",
"state": "CA",
"postal_code": "93263",
"telephone_number": "661-746-5600",
"fax_number": "661-746-4978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 F ST",
"city": "WASCO",
"state": "CA",
"postal_code": "932802018",
"telephone_number": "661-240-5900",
"fax_number": "661-240-5901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS HEALTH PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-26",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A",
"authorized_official_last_name": "HUSSEIN",
"authorized_official_first_name": "ISKANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-343-8855"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "50729",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131825",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EXPRESS PHARMACY#4",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EXPRESS PHARMACY#4",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wasco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.