K C B Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53873 Issued in CA

Legal business name

K C B PHARMACY INC

Doing business as

South Coast Pharmacy

Practice address

3500 S Bristol St Ste 102
Santa Ana, CA 92704-7319

Phone

(714) 755-7002

Fax

(714) 755-7613

NPI assigned

Nov 4, 2015

Last updated

Mar 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anil C Bhalodia, RPHNPI 1982967196

Title

Pic/Owner

Phone

(714) 755-7002

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SOUTH COAST PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

K C B Pharmacy Inc2 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.

• K C B Pharmacy Inc

  dba South Coast Pharmacy

  • Long Term Care Pharmacy
  • Santa Ana, CA
  • NPI 1679114896
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anil C Bhalodia, RPH

  • Pharmacist
  • Santa Ana, CA
  • NPI 1982967196
  NPD Authorized official

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1689047284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S BRISTOL ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047319",
            "telephone_number": "714-755-7002",
            "fax_number": "714-755-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S BRISTOL ST STE 102",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047319",
            "telephone_number": "714-755-7002",
            "fax_number": "714-755-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K C B PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "BHALODIA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "714-755-7002",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53873",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689047284",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH COAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH COAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Margaret Jurczynski
• Jennifer Lynn Justice
• Jy Chang DDS Inc
• K and K Healthy Living Company (Sleep Fabulous)
• K C B Pharmacy Inc (South Coast Pharmacy)
• K. B. Pediatrics, Inc.
• Hoda Kaddis, M.D.
• Jacqueline Kademian, LMFT
• Kyle Reese Kadin
• Kristine Kafel-Logan

• Community/Retail Pharmacy in Santa Ana, CA
• Providers in Santa Ana, 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 27, 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.

Verify at the official NPI Registry.