ANAHEIM PHARMACY, LLC
NPI 1114786241
Pharmacy - Long Term Care Pharmacy in Anaheim, CA

Active since March 19, 2024
1211 W LA PALMA AVE STE 102, ANAHEIM, CA 92801(714) 442-1141(714) 442-1142 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anaheim Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANAHEIM PHARMACY, LLC (NPI 1114786241), doing business as Anaheim Pharmacy (ltc), is a healthcare organization registered as a long term care pharmacy in Anaheim, California and active in the NPI registry since March 2024. The organization lists Jay Kim, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1114786241
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameANAHEIM PHARMACY, LLC
Location Address1211 W LA PALMA AVE STE 102Anaheim, CA 92801-2809
Mailing Address1211 W La Palma Ave Ste 102Anaheim, CA 92801-2809 · (714) 442-1141 · Fax (714) 442-1142
Fax(714) 442-1142
Organization SubpartNo
Authorized OfficialJay KimManaging Member · (909) 464-0300
Enumeration DateMarch 19, 2024
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1114786241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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.
1211 W LA PALMA AVE STE 102, Anaheim, CA 92801

Other Names 1

Doing Business AsAnaheim Pharmacy (ltc)

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1211 W LA PALMA AVE STE 102
ANAHEIM, CA 92801
Internal Medicine (Nephrology)
1211 W LA PALMA AVE STE 102
ANAHEIM, CA 92801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anaheim Pharmacy, LLC's NPI number?

The NPI number for Anaheim Pharmacy, LLC is 1114786241. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider is doing business as Anaheim Pharmacy (LTC).

Where is Anaheim Pharmacy, LLC located?

Anaheim Pharmacy, LLC is located at 1211 W La Palma Ave Ste 102, Anaheim, CA 92801. The listed phone number is (714) 442-1141.

What is Anaheim Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Anaheim Pharmacy, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 21 other insurers list Anaheim Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anaheim Pharmacy, LLC was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.