Active NPI
Beach Professional Pharmacy, Inc.
Doing business as Beach Professional Pharmacy
- Pharmacy
- Huntington Beach, CA
National Provider Identifier
1780412544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- BEACH PROFESSIONAL PHARMACY, INC.
- Doing business as
- Beach Professional Pharmacy
- Practice address
- 17742 Beach Blvd Ste 100
Huntington Beach, CA 92647-6847 - Phone
- (714) 848-4447
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 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
- Jasmine Hoang-Tran
- Title
- Ceo
- Phone
- (714) 848-4447
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
17742 Beach Blvd Ste 100
Huntington Beach, CA 92647-6847
Mailing address
12965 Crawford Dr
Tustin, CA 92782-1041
Other names 1
- Beach Professional 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 |
|---|---|---|---|---|
| O20240910004588 | CA | Part B Supplier - Pharmacy | 4284174715 | Practice locations: Huntington Beach, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Kent, WA
- NPI 1184948382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1780412544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12965 CRAWFORD DR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17742 BEACH BLVD STE 100",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926476847",
"telephone_number": "714-848-4447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACH PROFESSIONAL PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "HOANG-TRAN",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-848-4447"
},
"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": "Beach Professional Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Beach, CA
- Beach Obstetrics & Gynecology Medical Group a Medical Corporation
- Beach Physicians Medical Group Inc
- Beach Point Physical Therapy
- Beach Point Physical Therapy (Health Pro Wellness Center)
- Beach Pro Physical Medicine, Inc
- Beach Street Rehab
- Beach Surgery Center Inc.
- Beach Surgical Medical Center LLC
- Beachside Optometry Germundsen-Family Partnership
- Beachside Optometry Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.