Provider Demographics
NPI:1831812130
Name:HARPER'S PHARMACY INC.
Entity type:Organization
Organization Name:HARPER'S PHARMACY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:877-778-3773
Mailing Address - Street 1:132 S ANITA DR STE 210
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3317
Mailing Address - Country:US
Mailing Address - Phone:877-778-3773
Mailing Address - Fax:714-602-9965
Practice Address - Street 1:132 S ANITA DR FL 2
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3317
Practice Address - Country:US
Practice Address - Phone:877-778-0318
Practice Address - Fax:877-778-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103931599-0001Medicaid
CO9000190591Medicaid
OH458208Medicaid
CAPHY53868OtherCA PHARMACY LICENSE
NV250011794Medicaid
AZ124880Medicaid
CAPHA482010Medicaid