ACTIVE CARE FARMACIA; INC (NPI# 1366084063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366084063 |
| Entity Type | Organization |
| Organization Name | ACTIVE CARE FARMACIA; INC |
| Practice Address |
1203 N Avalon Blvd Ste A Wilmington CA 90744-2646 |
| Mailing Address |
11592 Alborada Dr San Diego CA 92127-1034 |
| Practice Telephone | 3105491000 |
| Practice Fax Number | 3105497000 |
| Mailing Telephone | 8586101132 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | ZOHREH HANTOOSH (CEO) |
| Authorized Official Telephone | 8586101132 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
1203 N AVALON BLVD STE A |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033239710 | Avalon Pharmacy Inc. | Pharmacy | 1203 N Avalon Blvd Ste A, Wilmington, CA 90744-2646 | 2007-03-29 |
| 1700423795 | Zohreh Hantoosh | Pharmacist | 1203 N Avalon Blvd Ste A, Wilmington, CA 90744-2646 | 2019-12-09 |
| 1598033169 | Avalon Pharmacy | Pharmacist | 1203 N Avalon Blvd Ste A, Wilmington, CA 90744-2646 | 2011-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| 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 |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1720633084 | New Hanover Regional Medical Center | Pharmacy | 2250 Shipyard Blvd Ste 12, Wilmington, NC 28403-8070 | 2019-08-05 |
| 1831671932 | Greenhill Specialty Pharmacy LLC. | Pharmacy | 2500 W 4th St # 2, Wilmington, DE 19805-3367 | 2018-09-05 |
| 1396237699 | Alfa Farmacia | Pharmacy | 1365 N Avalon Blvd, Wilmington, CA 90744-2603 | 2018-06-01 |
| 1639537111 | Unioncare Pharmacy LLC | Pharmacy | 408 N Union St, Wilmington, DE 19805-3026 | 2016-01-29 |
| 1346640455 | Cvs Pharmacy Inc. | Pharmacy | 210 Ballardvale St, Wilmington, MA 01887-1032 | 2014-08-26 |
| 1437495371 | Ainsley's Pharmacy LLC | Pharmacy | 3610 Miller Rd, Wilmington, DE 19802-2524 | 2012-12-21 |
| 1124375738 | Delaware Cvs Pharmacy LLC | Pharmacy | 1605 Telegraph Rd, Wilmington, DE 19804-4113 | 2012-08-14 |
| 1518213917 | Carter Drugs | Pharmacy | 4037 Masonboro Loop Rd, Suite G, Wilmington, NC 28409-3682 | 2012-08-03 |
| 1427268069 | Market Street Pharmacy Inc | Pharmacy | 908 B 16th Ste, Wilmington, PA 19802-5145 | 2007-05-23 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
Please comment or provide details below to improve the information on ACTIVE CARE FARMACIA; INC.
| 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.