Organization Active NPI

Bolsa Express Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1609201664
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BOLSA EXPRESS PHARMACY, INC.
Practice address
9262 Bolsa Ave
Suite a
Westminster, CA 92683-8905
Phone
(714) 891-8810
Fax
(714) 891-8805
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Ms. Uyen Ngoc Tran, R.PHNPI 1851315881
Title
President/Pic
Phone
(714) 891-8810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9262 Bolsa Ave
Suite a
Westminster, CA 92683-8905

Mailing address

9262 Bolsa Ave
Ste a
Westminster, CA 92683-8905
Phone (714) 891-8810

Other names 1

  • Bolsa Express Pharmacy,Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140730001805 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7719119783 Practice locations: Westminster, CA

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.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1609201664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9262 BOLSA AVE",
            "address_2": "STE A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838905",
            "telephone_number": "714-891-8810",
            "fax_number": "714-891-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9262 BOLSA AVE",
            "address_2": "SUITE A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838905",
            "telephone_number": "714-891-8810",
            "fax_number": "714-891-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLSA EXPRESS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "UYEN",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "714-891-8810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolsa Express Pharmacy,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.