Organization Active NPI

Nogales Pharmacy Inc

Doing business as Nogales Pharmacy

  • Community/Retail Pharmacy
  • Rowland Heights, CA
National Provider Identifier
1699796656
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY35486 Issued in CA
Legal business name
NOGALES PHARMACY INC
Doing business as
Nogales Pharmacy
Practice address
18702 Colima Rd
Ste 103
Rowland Heights, CA 91748-2990
Phone
(626) 810-2240
Fax
(626) 810-2193
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Par Lin Hsu, BS MS PHDNPI 1962508564
Title
President
Phone
(626) 810-2240

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY35486 CA Primary

Addresses

Primary practice location

18702 Colima Rd
Ste 103
Rowland Heights, CA 91748-2990

Mailing address

18702 Colima Rd
Ste 103
Rowland Heights, CA 91748-2990
Phone (626) 810-2240

Other identifiers 2

IdentifierTypeStateIssuer
PHA354860MedicaidCA
2000224OtherPK

Other names 1

  • NOGALES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140801001278 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8820203334 Practice locations: Rowland Heights, CA

National Provider Directory

National Provider Directory

Locations

1015 Nogales St
Ste 124
Rowland Heights, CA 91748
Phone (626) 810-2240

18702 Colima Rd
Ste 103
Rowland Heights, CA 91748
Phone (626) 810-2240

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1699796656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18702 COLIMA RD",
            "address_2": "STE 103",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482990",
            "telephone_number": "626-810-2240",
            "fax_number": "626-810-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18702 COLIMA RD",
            "address_2": "STE 103",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482990",
            "telephone_number": "626-810-2240",
            "fax_number": "626-810-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOGALES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "PAR LIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-810-2240",
        "authorized_official_credential": "BS MS PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY35486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA354860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000224",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOGALES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.