Active NPI
Wilshire Pharmcare, Inc.
- Pharmacy
- Laguna Hills, CA
National Provider Identifier
1922103142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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.