Organization Active NPI

Hemophiliac Support Systems Inc

  • Specialty Pharmacy
  • Cypress, CA
National Provider Identifier
1861558132
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
48356 Issued in CA
Legal business name
HEMOPHILIAC SUPPORT SYSTEMS INC
Doing business as
Hemophiliac Support Systems Inc
Practice address
5721 Lincoln Ave
Ste L
Cypress, CA 90630-3300
Phone
(714) 952-9107
Fax
(714) 952-9147
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Evan Borstein
Title
President
Phone
(714) 952-9107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 48356 CA Primary

Addresses

Primary practice location

5721 Lincoln Ave
Ste L
Cypress, CA 90630-3300

Mailing address

5721 Lincoln Ave
Ste L
Cypress, CA 90630-3300
Phone (714) 952-9107

Other identifiers 1

IdentifierTypeStateIssuer
2111950OtherPK

Other names 1

  • HEMOPHILIAC SUPPORT SYSTEMS INC Doing business as

National Provider Directory

National Provider Directory

Locations

5721 Lincoln Ave
Ste L
Cypress, CA 90630
Phone (714) 952-9107

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1861558132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 LINCOLN AVE",
            "address_2": "STE L",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303300",
            "telephone_number": "714-952-9107",
            "fax_number": "714-952-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 LINCOLN AVE",
            "address_2": "STE L",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303300",
            "telephone_number": "714-952-9107",
            "fax_number": "714-952-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMOPHILIAC SUPPORT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "BORSTEIN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-952-9107"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "48356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEMOPHILIAC SUPPORT SYSTEMS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.