Anaheim Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55517 Issued in CA

Legal business name

ANAHEIM CARE PHARMACY INC

Doing business as

ANAHEIM PHARMACY

Practice address

1020 S Anaheim Blvd
Suite 106
Anaheim, CA 92805-5851

Phone

(714) 844-2592

Fax

(714) 844-2593

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Arun Pasricha

Title

President/Owner

Phone

(657) 666-0628

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ANAHEIM PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1619355500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD",
            "address_2": "SUITE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055851",
            "telephone_number": "714-844-2592",
            "fax_number": "714-844-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ANAHEIM BLVD",
            "address_2": "SUITE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055851",
            "telephone_number": "714-844-2592",
            "fax_number": "714-844-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "PASRICHA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "657-666-0628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 55517",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "56-55595",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANAHEIM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANAHEIM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.