Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AZALEA HEALTHCARE INC
NPI 1629103569
Pharmacy - Community/Retail Pharmacy in Alhambra, CA

Q: What is Azalea Healthcare Inc's NPI number?

The NPI number for Azalea Healthcare Inc is 1629103569. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as 986 Pharmacy #8012.

Q: What is Azalea Healthcare Inc's specialty?

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

Active since February 22, 2007CLIA 05D2296756 · Waiver

1 E VALLEY BVLD, ALHAMBRA, CA 91801(626) 281-9913(626) 281-9392 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Jul 5, 2023 (2 updates tracked since 2023).

On this page

About Azalea Healthcare Inc NPPES

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

AZALEA HEALTHCARE INC (NPI 1629103569), doing business as 986 Pharmacy #8012, is a healthcare organization registered as a community/retail pharmacy in Alhambra, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Khanh-long Thai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629103569

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameAZALEA HEALTHCARE INC

Location Address1 E VALLEY BVLDAlhambra, CA 91801-5115

Mailing Address2476 Huntington DrSan Marino, CA 91108-2643 · (626) 399-0278 · Fax (626) 399-0421

Phone(626) 281-9913

Fax(626) 281-9392

Organization SubpartNo

Authorized OfficialKhanh-long ThaiCeo · (626) 281-9913

Enumeration DateFebruary 22, 2007

Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1629103569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPharmacyTaxonomy 333600000X

1 E VALLEY BVLD, Alhambra, CA 91801

Open in Google Maps ↗

Other Names 1

Doing Business As986 Pharmacy #8012

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)

Azalea Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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 IDO20231220002376DME · PharmacyDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2296756

Azalea Healthcare Inc Dba 986 Pharmacy #8012 · Alhambra, CA

Active · expires Jan 3, 2028

CLIA Number05D2296756

Laboratory TypePharmacy

Certificate Effective DateJanuary 4, 2026

Certificate Expiration DateJanuary 3, 2028

Laboratory DirectorShu Z. Wang

Laboratory Phone(626) 281-9913

Laboratory LocationAzalea Healthcare Inc Dba 986 Pharmacy #80121 E Valley Blvd, Alhambra, CA 91801

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories 986 Pharmacy #8012 carries, from the Medicare DMEPOS supplier directory.

986 Pharmacy #8012

DMEPOS supplier · Alhambra, CAOperated by Azalea Healthcare Inc

✔

Accepts Medicare assignment

986 Pharmacy #8012 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34356272

Medicare Participant SinceOctober 5, 2023

Supplier Location1 E Valley BlvdAlhambra, CA 91801

Phone(626) 281-9913

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

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 Azalea Healthcare Inc's NPI number?

The NPI number for Azalea Healthcare Inc is 1629103569. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as 986 Pharmacy #8012.

Where is Azalea Healthcare Inc located?

Azalea Healthcare Inc is located at 1 E Valley Bvld, Alhambra, CA 91801. The listed phone number is (626) 281-9913.

What is Azalea Healthcare Inc's specialty?

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

Is Azalea Healthcare Inc enrolled in Medicare?

Yes. Azalea Healthcare Inc is registered in the Medicare PECOS enrollment system.

When is Azalea Healthcare 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 December 31, 2026. 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 Azalea Healthcare Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, 986 Pharmacy #8012 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Azalea Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2296756) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Azalea Healthcare Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 41 other insurers list Azalea 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 Azalea Healthcare Inc was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.