Advancecare Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ADVANCECARE PHARMACY INC

Practice address

3225 E Pacific Coast Hwy Ste E
Signal Hill, CA 90755-1807

Phone

(562) 355-1263

Fax

(562) 355-1263

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Shaun Tay Lee, PHARM D

Title

President/Ceo

Phone

(562) 355-1263

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ADVANCECARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1780469049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 E PACIFIC COAST HWY STE E",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551807",
            "telephone_number": "562-355-1263",
            "fax_number": "562-355-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 E PACIFIC COAST HWY STE E",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551807",
            "telephone_number": "562-355-1263",
            "fax_number": "562-355-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCECARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "TAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-355-1263",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59103",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Signal Hill, CA
• Providers in Signal Hill, 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 Aug 25, 2023; 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.