Active NPI
Health Glow, Inc.
- Pharmacy
- Laguna Hills, CA
National Provider Identifier
1700639432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HEALTH GLOW, INC.
- Practice address
- 25381 Alicia Pkwy Ste U
Laguna Hills, CA 92653-4983 - Phone
- (949) 800-9555
- Fax
- (949) 346-9150
- NPI assigned
- Apr 11, 2024
- 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
- Roya Agahi
- Title
- Ceo
- Phone
- (949) 800-9555
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
25381 Alicia Pkwy Ste U
Laguna Hills, CA 92653-4983
Mailing address
25381 Alicia Pkwy Ste U
Laguna Hills, CA 92653-4983
Phone (949) 800-9555
Other names 1
- Alicia Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250414003016 | CA | Part B Supplier - Pharmacy | 8921522707 | Practice locations: Laguna Hills, CA |
National Provider Directory
National Provider DirectoryLocations
25381 Alicia Pkwy
Ste U
Laguna Hills, CA 92653
Phone (760) 501-0030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Orangevale, CA
- NPI 1730662099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1700639432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25381 ALICIA PKWY STE U",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534983",
"telephone_number": "949-800-9555",
"fax_number": "949-346-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25381 ALICIA PKWY STE U",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534983",
"telephone_number": "949-800-9555",
"fax_number": "949-346-9150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH GLOW, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-11",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "AGAHI",
"authorized_official_first_name": "ROYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-800-9555"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alicia Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Alicia Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.