Four Seasons Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FOUR SEASONS PHARMACY INC

Practice address

7872 Walker St Ste 106
La Palma, CA 90623-1748

Phone

(714) 690-0349

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Nathan Lam

Title

Ceo

Phone

(714) 690-0349

Specialties & licenses 1

Addresses

Other names 1

• PHOENIX PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1730776592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 WALKER ST STE 106",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231748",
            "telephone_number": "714-690-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 WALKER ST STE 106",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231748",
            "telephone_number": "714-690-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-690-0349"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOENIX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Felipe
• Kelli Anne Ferry
• Kylie Louise Figueroa
• Celia Shanika Ebilane Flores
• Maria Ruvalcaba Flores
• Four Seasons Pharmacy Inc
• Anthony Foye
• Codi Ki Fredrickson
• Sarah Elizabeth Freels
• Melanie Ann Freeman, MA, BCBA

• Community/Retail Pharmacy in La Palma, CA
• Providers in La Palma, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.