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986 PHARMACY #8011
NPI 1366084063
Pharmacy - Community/Retail Pharmacy in Wilmington, CA

Active since October 14, 2019CLIA 05D2316558 · Waiver
1203 N AVALON BLVD, SUITE A, WILMINGTON, CA 90744(310) 549-1000(310) 549-7000 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Jan 20, 2023, Jun 24, 2020 and 1 more (4 updates tracked since 2019).

About 986 Pharmacy #8011 NPPES

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

986 PHARMACY #8011 (NPI 1366084063) is a healthcare organization registered as a community/retail pharmacy in Wilmington, California and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Lilia Xu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366084063
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePONTUS HEALTHCARE INC
Location Address1203 N AVALON BLVD, SUITE AWilmington, CA 90744-2646
Mailing Address1203 N Avalon Blvd, Suite AWilmington, CA 90744-2646 · (310) 549-1000 · Fax (310) 549-7000
Phone(310) 549-1000
Fax(310) 549-7000
Organization SubpartNo
Authorized OfficialLilia XuCeo · (626) 791-7595
Enumeration DateOctober 14, 2019
Last NPPES UpdateNovember 18, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1366084063 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.
1203 N AVALON BLVD, Wilmington, CA 90744
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Other Names 1

Doing Business As986 Pharmacy #8011

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 Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2316558

Pontus Healthcare Inc Dba 986 Pharmacy #8011 · Wilmington, CA
Active · expires Jan 7, 2027
CLIA Number05D2316558
Laboratory TypePharmacy
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorElisabeth Ferris-Maligie
Laboratory Phone(310) 549-1000
Laboratory LocationPontus Healthcare Inc Dba 986 Pharmacy #80111203 N Avalon Blvd Ste A, Wilmington, CA 90744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pontus Healthcare Inc's NPI number?

The NPI number for Pontus Healthcare Inc is 1366084063. It was assigned to this organization in the NPPES registry on October 14, 2019. The provider is doing business as 986 Pharmacy #8011.

Where is Pontus Healthcare Inc located?

Pontus Healthcare Inc is located at 1203 N Avalon Blvd Suite A, Wilmington, CA 90744. The listed phone number is (310) 549-1000.

What is Pontus Healthcare Inc's specialty?

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

Does Pontus Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2316558) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pontus Healthcare Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Pontus Healthcare 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 Pontus Healthcare Inc was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.