ANAHEIM HILLS MEDICAL PHARMACY (NPI# 1184639734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184639734 |
| Entity Type | Organization |
| Organization Name | ANAHEIM HILLS MEDICAL PHARMACY |
| Other Organization Name | ANAHEIM HILLS MEDICAL PHARMACY |
| Practice Address |
500 S Anaheim Hills Rd Ste 100 Ste 100 Anaheim CA 92807-4761 |
| Mailing Address |
500 S Anaheim Hills Rd Ste 100 Ste 100 Anaheim CA 92807 |
| Practice Telephone | 7142791111 |
| Practice Fax Number | 7142791115 |
| Mailing Telephone | 7142791111 |
| Mailing Fax Number | 7142791115 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MOJGAN REZAEI (OWNER) |
| Authorized Official Telephone | 7142791111 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
43794 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA43794 | 05 | |
| PK | 1991557 | 01 |
| Other Name | Type Code |
|---|---|
| ANAHEIM HILLS MEDICAL PHARMACY | Doing Business As Name - Organization |
| Street Address |
500 S ANAHEIM HILLS RD STE 100 STE 100 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-4761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975239 | Altamed Health Services Corp | Pharmacy | 1325 N Anaheim Blvd, Suite 102, Anaheim, CA 92801-1202 | 2020-02-28 |
| 1225661796 | Rocco Pharmacy Inc | Pharmacy | 1491 E La Palma Ave Ste A, Anaheim, CA 92805-1564 | 2020-02-12 |
| 1720636921 | Cccri Inc | Pharmacy | 2705 W Lincoln Ave, Anaheim, CA 92801-6325 | 2019-08-30 |
| 1235602996 | Hms Pharmacy, Inc | Pharmacy | 2795 W Lincoln Ave Ste K, Anaheim, CA 92801-6334 | 2019-01-05 |
| 1447625769 | Med Choice Pharmacy Inc | Pharmacy | 621 N Euclid St, B, Anaheim, CA 92801-4615 | 2015-12-11 |
| 1962875450 | Dpd Rx Inc | Pharmacy | 3340 W Ball Rd # P, Anaheim, CA 92804-3729 | 2015-11-05 |
| 1952779076 | Nidhi Healthcare, Inc | Pharmacy | 932 S Euclid St, Anaheim, CA 92802-1523 | 2015-09-04 |
| 1396182853 | Han Sam Corp | Pharmacy | 2571 W La Palma Ave., # A, Anaheim, CA 92801 | 2013-05-23 |
| 1013244623 | Tdc Pharmaceutical Corporation Inc. | Pharmacy | 1172 N Euclid St, Anaheim, CA 92801-1900 | 2009-11-03 |
| 1053592865 | Walgreen Co | Pharmacy | 2560 W Ball Rd, Anaheim, CA 92804-4002 | 2007-11-20 |
| Find all providers in ANAHEIM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.