Provider Demographics
NPI:1336170679
Name:HARPERS PHARMACY INC
Entity type:Organization
Organization Name:HARPERS PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REGULATORY AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KADDUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-778-3773
Mailing Address - Street 1:132 S ANITA DR
Mailing Address - Street 2:210
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:
Practice Address - Street 1:132 S ANITA DR
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3317
Practice Address - Country:US
Practice Address - Phone:877-778-3773
Practice Address - Fax:800-951-7948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X, 3336H0001X, 3336L0003X, 3336S0011X, 3336I0012X, 3336S0011X
CAPHY538683336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA482010Medicaid
2114987OtherPK
CAPHA482010Medicaid