Organization Active NPI

Health Glow, Inc.

  • Pharmacy
  • Laguna Hills, CA
National Provider Identifier
1700639432
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Roya AgahiNPI 1730662099
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414003016 CA Part B Supplier - Pharmacy 8921522707 Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.