Organization Active NPI

Express Health Pharmacy

Doing business as Express Pharmacy#4

  • Pharmacy
  • Wasco, CA
National Provider Identifier
1497035083
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Iskander HusseinNPI 1518333517
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2131825OtherPK

Other names 1

  • EXPRESS PHARMACY#4 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.