Organization Active NPI

Bolsa Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1699447268
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BOLSA CARE PHARMACY INC
Practice address
9550 Bolsa Ave Ste 109
Westminster, CA 92683-5944
Phone
(714) 884-4742
Fax
(714) 884-4755
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Dr. Cuong Q Ho, PHARMDNPI 1497235725
Title
Ceo/Sec/Cfo/Director
Phone
(408) 394-4835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9550 Bolsa Ave Ste 109
Westminster, CA 92683-5944

Mailing address

9550 Bolsa Ave Ste 109
Westminster, CA 92683-5944
Phone (714) 884-4742

Other names 1

  • Bolsa Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220113001127 CA DME Supplier - Pharmacy 1557753084 Practice locations: Westminster, CA
O20220117000085 CA Part B Supplier - Pharmacy 1557753084 Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bolsa Care Pharmacy Inc9550 Bolsa Ave, Westminster, CA 92683-5944(714) 884-4742 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 7, 2022

National Provider Directory

National Provider Directory

Locations

9550 Bolsa Ave
Ste 109
Westminster, CA 92683
Phone (714) 884-4742

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1699447268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 BOLSA AVE STE 109",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835944",
            "telephone_number": "714-884-4742",
            "fax_number": "714-884-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 BOLSA AVE STE 109",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835944",
            "telephone_number": "714-884-4742",
            "fax_number": "714-884-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLSA CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "CUONG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "CEO/SEC/CFO/DIRECTOR",
        "authorized_official_telephone_number": "408-394-4835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolsa Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bolsa Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.