Amena Pharmacy Corp
NPI 1679613111 · Community/Retail Pharmacy · Tustin, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amena Pharmacy Corp is a Community/Retail Pharmacy organization in Tustin, CA (NPI 1679613111).
Provider details
- NPI number
- 1679613111
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Fareed Entezar, Pharmacist in Charge(714) 669-4000
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Healthcare Pharmacy
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2018-07-19
Frequently asked questions
- What is Amena Pharmacy Corp's NPI number?
- Amena Pharmacy Corp's National Provider Identifier (NPI) is 1679613111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amena Pharmacy Corp?
- Amena Pharmacy Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Amena Pharmacy Corp located?
- Amena Pharmacy Corp's practice location on file with NPPES is 14642 Newport Ave, Tustin, CA 92780-6057.
- What is Amena Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for Amena Pharmacy Corp is (714) 669-4000.
- Does Amena Pharmacy Corp accept Medicare?
- Amena Pharmacy Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Amena Pharmacy Corp?
- The authorized official listed on Amena Pharmacy Corp's NPPES record is Fareed Entezar, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amena Pharmacy Corp's NPI active?
- Yes — Amena Pharmacy Corp's NPI (1679613111) is active in the NPPES registry as of the last update on 2018-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.