Octagon Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OCTAGON HEALTHCARE INC

Doing business as

Better Value Pharmacy

Practice address

2707 E Valley Blvd
Suite 100
West Covina, CA 91792-3196

Phone

(626) 960-4723

Fax

(626) 813-7648

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Bonjun Koo, RPH

Title

Pharmacist in Charge

Phone

(626) 960-4723

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Better Value Pharmacy Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Pacific Healthcare Inc

  • Community/Retail Pharmacy
  • Fullerton, CA
  • NPI 1902990302

  Member Of

  NPD member

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1902142664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923196",
            "telephone_number": "626-960-4723",
            "fax_number": "626-813-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "SUITE 100",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923196",
            "telephone_number": "626-960-4723",
            "fax_number": "626-813-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAGON HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "BONJUN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "626-960-4723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50966",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA509660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Value Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Better Value Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clark Ochikubo, MD
• Diana Ochoa
• Kalissa Marie Ochoa
• Monica Cardenas Ochoa, LCSW
• Nicole G Ochoa
• Kevin Yoshitomu Oda, PA-C
• Ivanna Odabi
• Theresa-Mary Offenback-Wong
• Hee Yong Oh, M.D.
• Irma Ojeda

• Community/Retail Pharmacy in West Covina, CA
• Providers in West Covina, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.