Azalea Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AZALEA HEALTHCARE INC

Doing business as

986 Pharmacy #8012

Practice address

1 E Valley BVLD
Alhambra, CA 91801-5115

Phone

(626) 281-9913

Fax

(626) 281-9392

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Tracy B Phuing

Title

Ceo

Phone

(626) 281-9913

Specialties & licenses 2

Addresses

Other names 1

• 986 Pharmacy #8012 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

986 Pharmacy 80122 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Azalea Healthcare Inc

  dba 986 Pharmacy #8012

  • Long Term Care Pharmacy
  • Alhambra, CA
  • NPI 1780405514
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shu Zu Wang

  • Pharmacist
  • Monterey Park, CA
  • NPI 1801504865
  NPD
• Anni Yu, PHARMD

  • Pharmacist
  • Alhambra, CA
  • NPI 1437931706
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1629103569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015115",
            "telephone_number": "626-281-9913",
            "fax_number": "626-281-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E VALLEY BVLD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015115",
            "telephone_number": "626-281-9913",
            "fax_number": "626-281-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "PHUING",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-281-9913"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8012",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Axis Orthopedic Inc.
• Axolot Center Mental Health Counseling
• Aya Acupuncture & Herb Inc.
• Brigitte Montserrat Ayala Lopez
• Tosh Ayers
• Azalea Healthcare Inc (986 Pharmacy #8012)
• Jaime Albert Azdair, DDS
• Jamie Arthur Azdair, D.D.S.
• B & C Physical Therapy, Inc.
• Maral N Babikian

• Community/Retail Pharmacy in Alhambra, CA
• Providers in Alhambra, 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 Jul 5, 2023; 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.