OrganizationActive
Anaheim Pharmacy, LLC
NPI 1114786241 · Long Term Care Pharmacy · Anaheim, CA
Anaheim Pharmacy, LLC is a Long Term Care Pharmacy organization in Anaheim, CA (NPI 1114786241).
Provider details
- NPI number
- 1114786241
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jay Kim, Managing Member(909) 464-0300
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1211 W La Palma Ave Ste 102
Anaheim, CA 92801-2809
Phone: (714) 442-1141
Fax: (714) 442-1142
Street-level locationGet directions
Mailing address
1211 W La Palma Ave Ste 102
Anaheim, CA 92801-2809
Other names (DBA / former)
- Doing business as
- Anaheim Pharmacy (ltc)
- Doing business as
- Anaheim Pharmacy (ltc)
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Frequently asked questions
- What is Anaheim Pharmacy, LLC's NPI number?
- Anaheim Pharmacy, LLC's National Provider Identifier (NPI) is 1114786241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anaheim Pharmacy, LLC?
- Anaheim Pharmacy, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Anaheim Pharmacy, LLC located?
- Anaheim Pharmacy, LLC's practice location on file with NPPES is 1211 W La Palma Ave Ste 102, Anaheim, CA 92801-2809.
- What is Anaheim Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Anaheim Pharmacy, LLC is (714) 442-1141.
- Who is the authorized official for Anaheim Pharmacy, LLC?
- The authorized official listed on Anaheim Pharmacy, LLC's NPPES record is Jay Kim, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anaheim Pharmacy, LLC's NPI active?
- Yes — Anaheim Pharmacy, LLC's NPI (1114786241) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.