Active NPI
Acariahealth Pharmacy 13 Inc
- Specialty Pharmacy
- Commerce, CA
National Provider Identifier
1992786495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- ACARIAHEALTH PHARMACY 13 INC
- Practice address
- 3302 Garfield Ave
Commerce, CA 90040 - Phone
- (323) 262-9403
- Fax
- (866) 834-8523
- NPI assigned
- Nov 10, 2005
- Last updated
- Aug 21, 2022
- 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
- Stephen Jensen
- Title
- President
- Phone
- (800) 511-5144
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
3302 Garfield Ave
Commerce, CA 90040
Mailing address
8517 Southpark Cir Ste 200
Orlando, FL 32819-9033
Phone (855) 422-2742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120801000388 | CA | Part B Supplier - Pharmacy | 6103022009 | Practice locations: Commerce, CA |
National Provider Directory
National Provider DirectoryLocations
3302 Garfield Ave
Commerce, CA 90040
Phone (323) 262-9403
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Primary Podiatric Medicine Podiatrist
- Topeka, KS
- NPI 1982687034
-
- Pharmacist
- Commerce, CA
- NPI 1386133619
-
- Pharmacist
- Commerce, CA
- NPI 1043755374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661040000000",
"number": "1992786495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8517 SOUTHPARK CIR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328199033",
"telephone_number": "855-422-2742",
"fax_number": "866-834-8523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 GARFIELD AVE",
"city": "COMMERCE",
"state": "CA",
"postal_code": "90040",
"telephone_number": "323-262-9403",
"fax_number": "866-834-8523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACARIAHEALTH PHARMACY 13 INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2022-08-21",
"certification_date": "2022-08-21",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-511-5144"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.