Provider Type Icon

FOUR SEASONS PHARMACY INC NPI 1750667986


NPI Information

NPI: 1750667986
Provider Name: FOUR SEASONS PHARMACY INC

Doing Business As: FOUR SEASONS PHARMACY INC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
7872 WALKER ST STE 106
LA PALMA, CA
ZIP 90623
Phone: (714) 690-0349
Get Directions

FOUR SEASONS PHARMACY INC is a long term care pharmacy pharmacy in La Palma, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. FOUR SEASONS PHARMACY INC NPI is 1750667986. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Seasons Pharmacy Inc.

The provider's business location address is:

7872 WALKER ST STE 106
LA PALMA, CA
ZIP 90623-748
Phone: (714) 690-0349
Fax: (714) 509-1278

The provider's authorized official is Fung-wah Chris Ruiz .
The authorized official title is Ceo and has the following contact phone number (626) 285-9698.

The enumeration date for this NPI number is 11/2/2011 and was last updated on 5/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11750667986MEDICAIDCALIFORNIA
22132478OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.