Active NPI
Hesperia Pharmacy LLC
- Community/Retail Pharmacy
- Cedar Hill, TX
National Provider Identifier
1871068874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.