Active NPI
Spectrum Pharmacy
Doing business as Spectrum Pharmacy-Anaheim
- Community/Retail Pharmacy
- Anaheim, CA
National Provider Identifier
1588937478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY50751
- 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, 2016
- 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
- Nina Tran
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588937478 | Medicaid | CA | |
| 2133935 | Other | PK |
Other names 1
- Spectrum Pharmacy-Anaheim
National Provider Directory
National Provider DirectoryPractitioners & 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
- Corona, CA
- NPI 1881967875
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.