Active NPI
Good Health Inc
- Community/Retail Pharmacy
- Placentia, CA
National Provider Identifier
1528170446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY47438
- Legal business name
- GOOD HEALTH INC
- Practice address
- 1041 E Yorba Linda Blvd
Ste 209
Placentia, CA 92870-3728 - Phone
- (714) 993-9370
- Fax
- (714) 572-9453
- NPI assigned
- Aug 31, 2006
- 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
- Stephen Samuel
- Title
- Owner
- Phone
- (714) 961-7930
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY47438 | CA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1041 E Yorba Linda Blvd
Ste 209
Placentia, CA 92870-3728
Mailing address
410 Cloverleaf Dr
Baldwin Park, CA 91706-6511
Phone (714) 993-9370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA474380 | Medicaid | CA | |
| 2000519 | Other | PK |
Other names 1
- TOMMIE'S MEDICAL CENTER PHARMACY
National Provider Directory
National Provider DirectoryLocations
2657 Saturn St
Brea, CA 92821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424131200000",
"number": "1528170446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CLOVERLEAF DR",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917066511",
"telephone_number": "714-993-9370",
"fax_number": "714-572-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 E YORBA LINDA BLVD",
"address_2": "STE 209",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703728",
"telephone_number": "714-993-9370",
"fax_number": "714-572-9453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2015-02-17",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-961-7930"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY47438",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA474380",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2000519",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOMMIE'S MEDICAL CENTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.