Organization provider

PGBB LLC

Specialty Pharmacy Community/Retail Pharmacy Home Infusion Therapy Pharmacy Medicare enrolled

PGBB LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104191592, based in Orange, CA. The organization lists 3 taxonomy classifications, with Specialty Pharmacy recorded as primary.

Getting there

The practice address on file is 200 E KATELLA AVE STE A, Orange, CA 92867. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

200 E KATELLA AVE STE A, Orange, CA 92867 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Pharmacy
PAC ID
3779896428

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Pharmacy. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Specialty Pharmacy covers

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. NUCC Health Care Provider Taxonomy, code 3336S0011X
Suppliers Pharmacy Specialty Pharmacy

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
3336S0011X Specialty Pharmacy Specialty Pharmacy primary
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy
3336H0001X Home Infusion Therapy Pharmacy Home Infusion Therapy Pharmacy

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104191592 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 19, 2012
Last updatedOct 9, 2024
StatusActive
Practice address 200 E KATELLA AVE STE A
Orange, CA 92867
(714) 941-6177
Fax (714) 941-6178
Other identifiers PHY59102 · BOARD OF PHARMACY (CA)
5643184 · NCPDP PROVIDER IDENTIFICATION NUMBER
This record was updated on Oct 9, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1104191592 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 9 1 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 9 2 5 9

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104191592?
NPI 1104191592 is the National Provider Identifier assigned to PGBB LLC in Orange, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Specialty Pharmacy cover?
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
How do I contact PGBB LLC?
The phone number on file with NPPES is (714) 941-6177, last updated Oct 9, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PGBB LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104191592 a valid number?
Yes. 1104191592 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.