Organization Active NPI

Entrega Pharmacy LLC

  • Long Term Care Pharmacy
  • Lancaster, CA
National Provider Identifier
1558127191
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ENTREGA PHARMACY LLC
Practice address
44469 10TH St W Ste B
Lancaster, CA 93534-3324
Phone
(661) 579-2099
Fax
(800) 828-8097
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Angie Huynh
Title
President
Phone
(661) 579-2099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

44469 10TH St W Ste B
Lancaster, CA 93534-3324

Mailing address

44469 10TH St W Ste B
Lancaster, CA 93534-3324
Phone (661) 579-2099

Other names 1

  • Entrega Pharmacy LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

44469 10th St W
Ste B
Lancaster, CA 93534
Phone (661) 579-2099

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1558127191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44469 10TH ST W STE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343324",
            "telephone_number": "661-579-2099",
            "fax_number": "800-828-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44469 10TH ST W STE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343324",
            "telephone_number": "661-579-2099",
            "fax_number": "800-828-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTREGA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-579-2099"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Entrega Pharmacy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.