Organization Active NPI

Acariahealth Pharmacy 13 Inc

  • Specialty Pharmacy
  • Commerce, CA
National Provider Identifier
1992786495
Registry record updated Aug 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120801000388 CA Part B Supplier - Pharmacy 6103022009 Practice locations: Commerce, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.