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EARTH VILLAGE PHARMACY INC
NPI 1184052037
Pharmacy - Community/Retail Pharmacy in Buena Park, CA

Active since October 30, 2013
5161 BEACH BLVD, UNIT #C, BUENA PARK, CA 90621(714) 228-9212(714) 228-9217 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Earth Village Pharmacy Inc NPPES

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

EARTH VILLAGE PHARMACY INC (NPI 1184052037), doing business as Earth Village Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Buena Park, California and active in the NPI registry since October 2013. The organization lists Janice E Jang, President/pic, as its authorized official.

NPPES Registry Identity

NPI1184052037
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEARTH VILLAGE PHARMACY INC
Location Address5161 BEACH BLVD, UNIT #CBuena Park, CA 90621-1171
Mailing Address5161 Beach Blvd, Unit #cBuena Park, CA 90621-1171 · (714) 228-9212 · Fax (714) 228-9217
Phone(714) 228-9212
Fax(714) 228-9217
Organization SubpartNo
Authorized OfficialJanice E JangPresident/pic · (714) 228-9212
Enumeration DateOctober 30, 2013
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1184052037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
5161 BEACH BLVD, Buena Park, CA 90621
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Other Names 1

Doing Business AsEarth Village Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Earth Village Pharmacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20140806000167DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Earth Village Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Earth Village Pharmacy Inc

DMEPOS supplier · Buena Park, CA
⋮

Does not accept Medicare assignment

Earth Village Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20505281
Medicare Participant SinceJune 16, 2014
Supplier Location5161 Beach Blvd Unit CBuena Park, CA 90621
Phone(714) 228-9212
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Earth Village Pharmacy Inc's NPI number?

The NPI number for Earth Village Pharmacy Inc is 1184052037. It was assigned to this organization in the NPPES registry on October 30, 2013. The provider is doing business as Earth Village Pharmacy.

Where is Earth Village Pharmacy Inc located?

Earth Village Pharmacy Inc is located at 5161 Beach Blvd Unit #c, Buena Park, CA 90621. The listed phone number is (714) 228-9212.

What is Earth Village Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Earth Village Pharmacy Inc enrolled in Medicare?

Yes. Earth Village Pharmacy Inc is registered in the Medicare PECOS enrollment system.

When is Earth Village Pharmacy Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Pharmacy) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Earth Village Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Earth Village Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Earth Village Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 46 other insurers list Earth Village Pharmacy Inc 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 Earth Village Pharmacy Inc was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.