Amena Pharmacy Corp
Amena Pharmacy Corp is a healthcare organization registered as Community/Retail Pharmacy in Tustin, CA, holding Type 2 (organization) NPI 1679613111 since 2007. The authorized official on file is Fareed Entezar, Pharmacist in Charge.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679613111 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Amena Pharmacy Corp |
| Other name | <Unavail> |
| Practice address | 14642 NEWPORT AVE, Tustin, CA, 92780 |
| Phone | 7146694000 |
| Fax | 7146694484 |
| Enumeration date | 2007-02-07 |
| Last updated in NPPES | 2018-07-19 |
Authorized official
| Name | Fareed Entezar |
|---|---|
| Title | Pharmacist in Charge |
| Phone | 7146694000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY55952 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1999991 | Other | — | PK |
Copy-ready billing details
Provider: Amena Pharmacy Corp NPI: 1679613111 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 14642 NEWPORT AVE, Tustin, CA, 92780
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174594386 | Los Angeles Radiation Oncology Medical Associates | Organization | Radiation Oncology Physician | Tustin, CA |
| 1720057516 | Valeria Kozak | Individual | Pediatrics Physician | Tustin, CA |
| 1174577654 | Anjala Kanda | Individual | Foot & Ankle Surgery Podiatrist | Tustin, CA |
| 1245250695 | John Sarkaria | Individual | Pediatrics Physician | Tustin, CA |
| 1275648156 | Emerson Jou | Individual | Physical Medicine & Rehabilitation Physician | Tustin, CA |
| 1790880250 | Kenneth Thaler | Individual | Internal Medicine Physician | Tustin, CA |
| 1508956152 | Rem Sleep Labs Incorporated | Organization | Clinical Medical Laboratory | Tustin, CA |
| 1205989373 | William Crumpton | Individual | Family Medicine Physician | Tustin, CA |
Verify this record
Cross-check NPI 1679613111 against the authoritative CMS record: view Amena Pharmacy Corp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Amena Pharmacy Corp?
What is the NPI number for Amena Pharmacy Corp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-07-19.