SOCAL PHARMACY INC. (NPI# 1649713777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649713777 |
| Entity Type | Organization |
| Organization Name | SOCAL PHARMACY INC. |
| Other Organization Name | GROVE HARBOR MEDICAL CENTER PHARMACY |
| Practice Address |
12555 Garden Grove Blvd Suite 102 Garden Grove CA 92843-1902 |
| Practice Telephone | 2567140593 |
| Practice Fax Number | 7146367708 |
| Mailing Telephone | 2567140593 |
| Mailing Fax Number | 7146367708 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | DR. SEID AMIR FARZAN TAVAKKOLI ISFAHANI (PRESIDENT) |
| Authorized Official Telephone | 2567972552 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Grove Harbor Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744230 | Socal Pharmacy Inc. | Pharmacy | 12555 Garden Grove Blvd Ste 102, Garden Grove, CA 92843-1903 | 2020-03-08 |
| Street Address |
12555 GARDEN GROVE BLVD SUITE 102 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682401 | Julie Hwynn | Internal Medicine | 12555 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1902 | 2005-07-07 |
| 1518332980 | Fresenius Medical Care Orange County, LLC | Clinic/Center | 12555 Garden Grove Blvd, Ste 100, Garden Grove, CA 92843-1902 | 2015-12-10 |
| 1841564143 | Hong-an Jan Md Inc | Clinic/Center | 12555 Garden Grove Blvd, #202, Garden Grove, CA 92843-1902 | 2012-03-05 |
| 1912203860 | Melissa K King Md Inc | Internal Medicine | 12555 Garden Grove Blvd, Suite 405, Garden Grove, CA 92843-1902 | 2011-02-09 |
| 1073819710 | Puneet K Chahal, M.d. Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1346546082 | Tuan V Ta Md Inc | Internal Medicine | 12555 Garden Grove Blvd, #405, Garden Grove, CA 92843-1902 | 2011-01-27 |
| 1821306838 | T.r.rhee,m.d.inc | Specialist | 12555 Garden Grove Blvd, Suite 408, Garden Grove, CA 92843-1902 | 2010-09-24 |
| 1053579136 | Andrew H Ahn Md Professional Corporation | Surgery | 12555 Garden Grove Blvd, Suite 403, Garden Grove, CA 92843-1903 | 2008-05-27 |
| 1821256090 | Advanced Center for Urology Inc | Urology | 12555 Garden Grove Blvd, Ste. 405, Garden Grove, CA 92843-1902 | 2008-05-23 |
| 1346420783 | Orange County Vascular Access, A Medical Corporation | Internal Medicine | 12555 Garden Grove Blvd, Ste 200, Garden Grove, CA 92843-1902 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| 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 |
|---|---|---|---|---|
| 1538794888 | Cali-wellcare Pharmacy Inc. | Pharmacy | 9972 Westminster Ave Ste 100, Garden Grove, CA 92844-5142 | 2020-03-06 |
| 1295373553 | Trung P Luu Family LLC | Pharmacy | 10212 Westminster Ave Ste 109, Garden Grove, CA 92843-4800 | 2019-12-18 |
| 1487208534 | Apex Pharmacy Plus Inc | Pharmacy | 9914 Garden Grove Blvd, Garden Grove, CA 92844-1645 | 2019-07-27 |
| 1194283606 | E-care Pharmacy Corp | Pharmacy | 13063 Euclid St, Garden Grove, CA 92843-1333 | 2019-03-05 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1871091926 | Top Drugs Pharmacy, Inc | Pharmacy | 11010 Magnolia St, Garden Grove, CA 92841-1046 | 2018-01-23 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1164899027 | The Hoang & Sons Pharmaceutical Inc | Pharmacy | 11033 Acacia Pkwy, Garden Grove, CA 92840-5126 | 2015-08-26 |
| 1205218773 | Pnr Pharma Inc | Pharmacy | 10741 Westminster Ave # C, Garden Grove, CA 92843-4919 | 2015-06-22 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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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.