Organization Active NPI

Wilshire Pharmcare, Inc.

  • Pharmacy
  • Laguna Hills, CA
National Provider Identifier
1922103142
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WILSHIRE PHARMCARE, INC.
Practice address
26611 Cabot Rd Ste B
Laguna Hills, CA 92653-7031
Phone
(949) 348-7900
Fax
(949) 348-7922
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Samuel Kyong Yol Lee, PHARM.D.
Title
President/Ceo
Phone
(949) 348-7900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

26611 Cabot Rd Ste B
Laguna Hills, CA 92653-7031

Mailing address

26611 Cabot Rd Ste B
Laguna Hills, CA 92653-7031
Phone (949) 348-7900

Other names 1

  • Advanced Pharmacy Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180319002264 CA DME Supplier - Pharmacy 5294097879 Practice locations: Laguna Hills, CA
O20190709001828 CA Part B Supplier - Pharmacy 5294097879 1 other NPI on this enrollment
Practice locations: Anaheim, CA; Laguna Hills, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1922103142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26611 CABOT RD STE B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537031",
            "telephone_number": "949-348-7900",
            "fax_number": "949-348-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26611 CABOT RD STE B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537031",
            "telephone_number": "949-348-7900",
            "fax_number": "949-348-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSHIRE PHARMCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KYONG YOL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "949-348-7900",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pharmacy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.