Organization Active NPI

Hesperia Pharmacy LLC

  • Community/Retail Pharmacy
  • Cedar Hill, TX
National Provider Identifier
1871068874
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HESPERIA PHARMACY LLC
Practice address
318 W Belt Line Rd # 305
Cedar Hill, TX 75104-1104
Phone
(951) 269-8188
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Dr. Olajuwon A Abijo, PHARMD
Title
Director
Phone
(951) 269-8188

Specialties & licenses 1

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

Addresses

Primary practice location

318 W Belt Line Rd # 305
Cedar Hill, TX 75104-1104

Mailing address

318 W Belt Line Rd # 305
Cedar Hill, TX 75104-1104
Phone (951) 269-8188

Other names 1

  • HESPERIA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

318 W Belt Line Rd
#305
Cedar Hill, TX 75104
Phone (951) 269-8188

124 W Belt Line Rd
Ste 8
Cedar Hill, TX 75104
Phone (469) 272-3129

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1871068874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W BELT LINE RD # 305",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041104",
            "telephone_number": "951-269-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W BELT LINE RD # 305",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041104",
            "telephone_number": "951-269-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESPERIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ABIJO",
        "authorized_official_first_name": "OLAJUWON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-269-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HESPERIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HESPERIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.