Senior Care Pharmacy Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY46000 Issued in CA

Legal business name

SENIOR CARE PHARMACY SERVICES INC

Practice address

12600 Hoover St
Garden Grove, CA 92841-4100

Phone

(714) 891-1800

Fax

(714) 891-1102

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Samit Banerjee

Title

Ceo

Phone

(714) 891-1800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SENIOR CARE PHARMACY SERVICES Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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

• PO-an Lu, PHARM.D, RPH, CGP

  • Pharmacist
  • Garden Grove, CA
  • NPI 1447774328
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1720046709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27458",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928090115",
            "telephone_number": "714-891-1800",
            "fax_number": "714-891-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 HOOVER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414100",
            "telephone_number": "714-891-1800",
            "fax_number": "714-891-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "BANERJEE",
        "authorized_official_first_name": "SAMIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-891-1800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY46000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA460000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0566919",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR CARE PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Leson DO MPH PC
• Katherine Grace Segura
• Sharanya Sekhri, SLP
• Select Multi Specialty Medical Care
• Keana Sempek
• Hyeseon Seo, NP
• Joohyoung Seo, O.T.
• Julee Seo
• Sunkyo Seo
• Mursal Sepahizada

• Long Term Care Pharmacy in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.