Organization Active NPI

Chino Hills Professional Pharmacy Inc

Doing business as Chino Hills Professional Pharmacy

  • Community/Retail Pharmacy
  • Chino Hills, CA
National Provider Identifier
1972514479
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46559 Issued in CA
Legal business name
CHINO HILLS PROFESSIONAL PHARMACY INC
Doing business as
Chino Hills Professional Pharmacy
Practice address
2140 Grand Ave
Ste 130
Chino Hills, CA 91709-6800
Phone
(909) 364-9244
Fax
(909) 364-9222
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Nitin PatelNPI 1528513439
Title
President
Phone
(909) 364-9244

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY46559 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2140 Grand Ave
Ste 130
Chino Hills, CA 91709-6800

Mailing address

2140 Grand Ave
Ste 130
Chino Hills, CA 91709-6800
Phone (909) 364-9244

Other identifiers 2

IdentifierTypeStateIssuer
PHA465590MedicaidCA
2120897OtherPK

Other names 1

  • Chino Hills Professional Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930033032 CA DME Supplier - Pharmacy 3577761824 Practice locations: Chino Hills, CA
O20210219002079 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3577761824 Practice locations: Chino Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Chino Hills Professional Pharmacy I2140 Grand Ave, Chino Hills, CA 91709-6802(909) 364-9244 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since May 25, 2009

National Provider Directory

National Provider Directory

Locations

2140 Grand Ave
Ste 130
Chino Hills, CA 91709
Phone (909) 364-9244

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1972514479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 GRAND AVE",
            "address_2": "STE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096800",
            "telephone_number": "909-364-9244",
            "fax_number": "909-364-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 GRAND AVE",
            "address_2": "STE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096800",
            "telephone_number": "909-364-9244",
            "fax_number": "909-364-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO HILLS PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-364-9244"
    },
    "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": "PHY46559",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA465590",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120897",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chino Hills Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.