Organization Active NPI

Welcome Pharmacy Inc

Doing business as Halliburton Professional Pharmacy

  • Community/Retail Pharmacy
  • Hacienda Heights, CA
National Provider Identifier
1912032541
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45824 Issued in CA
Legal business name
WELCOME PHARMACY INC
Doing business as
Halliburton Professional Pharmacy
Practice address
15932 Halliburton Rd
Hacienda Heights, CA 91745-3505
Phone
(626) 369-6286
Fax
(626) 369-5284
NPI assigned
Feb 23, 2007
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Kowen LeeNPI 1083349252
Title
Pharmacist
Phone
(562) 860-6336

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 PHY45824 CA Primary

Addresses

Primary practice location

15932 Halliburton Rd
Hacienda Heights, CA 91745-3505

Mailing address

15932 Halliburton Rd
Hacienda Heights, CA 91745-3505
Phone (626) 369-6286

Other identifiers 1

IdentifierTypeStateIssuer
PHA458240MedicaidCA

Other names 1

  • HALLIBURTON PROFESSIONAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

18379 Pioneer Blvd
Artesia, CA 90701
Phone (562) 860-6336

15932 Halliburton Rd
Hacienda Heights, CA 91745
Phone (626) 369-6286

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1912032541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15932 HALLIBURTON RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453505",
            "telephone_number": "626-369-6286",
            "fax_number": "626-369-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15932 HALLIBURTON RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453505",
            "telephone_number": "626-369-6286",
            "fax_number": "626-369-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCOME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KOWEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "562-860-6336"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA458240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLIBURTON PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.