Organization Active NPI

I V Family Pharmacy Inc

Doing business as Hope Pharmacy

  • Community/Retail Pharmacy
  • Calexico, CA
National Provider Identifier
1821168766
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
I V FAMILY PHARMACY INC
Doing business as
Hope Pharmacy
Practice address
420 Heffernan Ave.
Ste. a
Calexico, CA 92231-4718
Phone
(760) 357-9500
NPI assigned
Nov 8, 2006
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Jadine Celina Mah, PHARM.D.NPI 1730697376
Title
President Secretary
Phone
(760) 357-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

420 Heffernan Ave.
Ste. a
Calexico, CA 92231-4718

Mailing address

420 Heffernan Ave.
Ste. a
Calexico, CA 92231-4718
Phone (760) 357-9500

Other identifiers 1

IdentifierTypeStateIssuer
PHA485890MedicaidCA

Other names 1

  • HOPE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930082657 CA DME Supplier - Pharmacy 0840383030 Practice locations: Calexico, CA
O20190118002899 CA Part B Supplier - Mass Immunization (Roster Biller Only) 0840383030 Practice locations: Calexico, 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
05D2213894Hope Pharmacy420 Heffernan Ave Ste a, Calexico, CA 92231Certificate of waiverFeb 16, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hope Pharmacy420 Heffernan Ave, Calexico, CA 92231-4718(760) 357-9500 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Urological Supplies Accepts assignmentParticipating since Jul 22, 2007

National Provider Directory

National Provider Directory

Locations

420 Heffernan Ave
Ste A
Calexico, CA 92231
Phone (760) 357-9500

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1821168766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HEFFERNAN AVE.",
            "address_2": "STE. A",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314718",
            "telephone_number": "760-357-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HEFFERNAN AVE.",
            "address_2": "STE. A",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314718",
            "telephone_number": "760-357-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I V FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "MAH",
        "authorized_official_first_name": "JADINE",
        "authorized_official_middle_name": "CELINA",
        "authorized_official_title_or_position": "PRESIDENT SECRETARY",
        "authorized_official_telephone_number": "760-357-9500",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA485890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calexico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.