Advantage Health Care HIV & Compounding Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51109 Issued in CA

Legal business name

ADVANTAGE HEALTH CARE HIV & COMPOUNDING INC

Practice address

12665 Garden Grove Blvd
Suite 108
Garden Grove, CA 92843-1901

Phone

(714) 530-1130

Fax

(714) 537-7736

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Rajnis Jasani, B.S.PHARMACY

Title

Secretary

Phone

(909) 948-8377

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GARDEN GROVE COMMUNITY PHARMACY Doing business as

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1992811764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 108",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-530-1130",
            "fax_number": "714-537-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 108",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-530-1130",
            "fax_number": "714-537-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH CARE HIV & COMPOUNDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "JASANI",
        "authorized_official_first_name": "RAJNIS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "909-948-8377",
        "authorized_official_credential": "B.S.PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0521383",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARDEN GROVE COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Healthnet Center
• Advanced Home Care Medical Supply
• Advanced Sleep Medicine Services Inc
• Advanced Surgical Care Medical Corporation
• Advans Cpap Inc
• Advocare Home Health, Corp.
• Advocare Hospice, Inc
• Affiliated Doctors of Orange County
• After the Stork, Inc.
• Angeline Agaiava

• All providers in Garden Grove, CA
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.