NPIMap

Organization Active NPI

Polaris Specialty Pharmacy, LLC

  • Home Health Agency
  • Covina, CA
National Provider Identifier
1639945652
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
POLARIS SPECIALTY PHARMACY, LLC
Practice address
706 E Arrow Hwy Ste E
Covina, CA 91722-2123
Phone
(626) 541-0045
Fax
(626) 541-0025
NPI assigned
Nov 30, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Regina Hunt
Title
Corporate Director of Compliance, C
Phone
(800) 589-9747

National Provider Directory

National Provider Directory
Tax ID family
Premier Pharmacy Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

706 E Arrow Hwy
Ste E
Covina, CA 91722
Phone (626) 541-0045

837 W Arrow Hwy
Glendora, CA 91740
Phone (626) 962-1061

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

706 E Arrow Hwy Ste E
Covina, CA 91722-2123

Mailing address

837 W Arrow Hwy
Glendora, CA 91740-5413
Phone (626) 962-1061

Other names 1

NPPES NPI Registry
  • Owl Healthcare Services Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2024.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1639945652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 W ARROW HWY",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405413",
            "telephone_number": "626-962-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E ARROW HWY STE E",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222123",
            "telephone_number": "626-541-0045",
            "fax_number": "626-541-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE, C",
        "authorized_official_telephone_number": "800-589-9747"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owl Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.