Active NPI
Jude Hsieh, PHARM.D.
- Pharmacist
- Menifee, CA
National Provider Identifier
1760855829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50908
- Practice address
- 29798 Haun Rd
#100
Menifee, CA 92586-6541 - Phone
- (951) 301-6255
- Fax
- (951) 301-1355
- NPI assigned
- Nov 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50908 | CA | Primary |
Addresses
Primary practice location
29798 Haun Rd
#100
Menifee, CA 92586-6541
Mailing address
29798 Haun Rd
#100
Menifee, CA 92586-6541
Phone (951) 301-6255
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50908 | Other | CA | BOARD OF PHARMACY |
| A2080322 | Other | CA | DMV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50908 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxmen Partners Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Menifee, CA
- NPI 1659392629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1760855829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29798 HAUN RD",
"address_2": "#100",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925866541",
"telephone_number": "951-301-6255",
"fax_number": "951-301-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29798 HAUN RD",
"address_2": "#100",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925866541",
"telephone_number": "951-301-6255",
"fax_number": "951-301-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSIEH",
"first_name": "JUDE",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "50908",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMV",
"identifier": "A2080322",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.