NPIMap

Organization Active NPI

Wecare Pharmaceutical Services Inc

  • Pharmacy
  • San Bernardino, CA
National Provider Identifier
1790045292
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY 50936 Issued in CA
Legal business name
WECARE PHARMACEUTICAL SERVICES INC
Doing business as
Gojji Pharmacy
Practice address
2121 N D St
San Bernardino, CA 92405-3915
Phone
(877) 301-0636
Fax
(909) 494-5582
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Authorized official

Name
Chris Hung Wai Chan, PHARMD
Title
Ceo
Phone
(909) 936-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 50936 CA Primary

Addresses

Primary practice location

2121 N D St
San Bernardino, CA 92405-3915

Mailing address

2121 N D St
San Bernardino, CA 92405-3915
Phone (877) 301-0636

Other identifiers 1

IdentifierTypeStateIssuer
PHY59373OtherCACALIFORNIA STATE BOARD OF PHARMACY

Other names 1

  • Gojji Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151223001888 CA DME Supplier - Pharmacy 9638470289 Practice locations: San Bernardino, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2085282Wecare Pharmaceutical Services Inc2121 N. D St., San Bernardino, CA 92405Certificate of waiverOct 9, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gojji Pharmacy2121 N D St, San Bernardino, CA 92405-3915(909) 693-3376 Nebulizer Drugs Does not accept assignmentParticipating since Nov 5, 2015

National Provider Directory

National Provider Directory

Locations

2121 N D St
San Bernardino, CA 92405
Phone (844) 464-6554

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716076800000",
    "number": "1790045292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053915",
            "telephone_number": "877-301-0636",
            "fax_number": "909-494-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053915",
            "telephone_number": "877-301-0636",
            "fax_number": "909-494-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WECARE PHARMACEUTICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CHRIS HUNG WAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-936-2502",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 50936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHY59373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gojji Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.