Active NPI
Socal Pharmacy LLC
- Community/Retail Pharmacy
- Garden Grove, CA
National Provider Identifier
1649713777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SOCAL PHARMACY LLC
- Doing business as
- Grove Harbor Medical Center Pharmacy
- Practice address
- 12555 Garden Grove Blvd
Suite 102
Garden Grove, CA 92843-1902 - Phone
- (256) 714-0593
- Fax
- (714) 636-7708
- NPI assigned
- Nov 21, 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
- Dr. Michael Zeglinski
- Title
- Ceo
- Phone
- (714) 706-9030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | CA | Primary |
Addresses
Primary practice location
12555 Garden Grove Blvd
Suite 102
Garden Grove, CA 92843-1902
Mailing address
PO Box 3055
Huntington Beach, CA 92605-3055
Phone (714) 706-9030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649713777 | Medicaid | CA | |
| PHY59248 | Other | CA | BOP |
Other names 1
- Grove Harbor Medical Center Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170525000349 | CA | DME Supplier - Pharmacy | 4880961796 | Practice locations: Garden Grove, CA |
| O20201116002704 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880961796 | Practice locations: Garden Grove, CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1649713777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3055",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926053055",
"telephone_number": "714-706-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12555 GARDEN GROVE BLVD",
"address_2": "SUITE 102",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431902",
"telephone_number": "256-714-0593",
"fax_number": "714-636-7708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCAL PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "ZEGLINSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-706-9030",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649713777",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP",
"identifier": "PHY59248",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grove Harbor Medical Center Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Grove Harbor Medical Center Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.