Organization Active NPI

Pharmacy 801, Inc

  • Community/Retail Pharmacy
  • Santa Ana, CA
National Provider Identifier
1861548976
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY 801, INC
Practice address
801 N Tustin Ave
Santa Ana, CA 92705-3612
Phone
(714) 547-3949
Fax
(714) 547-3244
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Virginia Yee, RPHNPI 1932986635
Title
Ceo
Phone
(714) 547-3949

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

801 N Tustin Ave
Santa Ana, CA 92705-3612

Mailing address

801 N Tustin Ave Ste 100
Santa Ana, CA 92705-3607
Phone (714) 547-3949

Other identifiers 2

IdentifierTypeStateIssuer
1861548976MedicaidCA
PHY59094OtherCAPHARMACY PERMIT

Other names 1

  • Santa Ana Tustin Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

801 N Tustin Ave
Ste 100
Santa Ana, CA 92705

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1861548976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053607",
            "telephone_number": "714-547-3949",
            "fax_number": "714-547-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053612",
            "telephone_number": "714-547-3949",
            "fax_number": "714-547-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY 801, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-547-3949",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861548976",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY59094",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Ana Tustin Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.