Organization Active NPI

Spectrum Pharmacy

Doing business as Spectrum Pharmacy-Anaheim

  • Community/Retail Pharmacy
  • Anaheim, CA
National Provider Identifier
1588937478
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50751 Issued in CA
Legal business name
SPECTRUM PHARMACY
Doing business as
Spectrum Pharmacy-Anaheim
Practice address
1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone
(714) 826-6246
Fax
(714) 826-1810
NPI assigned
Feb 23, 2012
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Nina TranNPI 1881967875
Title
Pharmacist
Phone
(949) 257-3748

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X PHY50751 CA Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

1236 N Magnolia Ave
Anaheim, CA 92801-2607

Mailing address

1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 826-6246

Other identifiers 2

IdentifierTypeStateIssuer
1588937478MedicaidCA
2133935OtherPK

Other names 1

  • Spectrum Pharmacy-Anaheim Doing business as

National Provider Directory

National Provider Directory

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1588937478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 N MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012607",
            "telephone_number": "714-826-6246",
            "fax_number": "714-826-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 N MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012607",
            "telephone_number": "714-826-6246",
            "fax_number": "714-826-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "949-257-3748"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50751",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588937478",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Pharmacy-Anaheim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.