FOUR SEASONS PHARMACY INC NPI 1750667986

NPI Information

  • NPI: 1750667986
  • Provider Name: FOUR SEASONS PHARMACY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • :
  • Address: 7872 WALKER ST STE 106
    LA PALMA, CA
    ZIP 90623
  • Phone: (714) 690-0349

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NPI Details

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 .

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 Nathan Lam .
The authorized official title is Ceo and has the following contact phone number (714) 690-0349.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
  • Adm sarscv2 30mcg trs-sucr 2 (HCPCS:0052A)

The enumeration date for this NPI number is 11/2/2011 and was last updated on 2/12/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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