Organization Active NPI

Bellwood Medical Center Pharmacy Corp

Doing business as Bellwood Medical Center Pharmacy, Medicine Shoppe 2064

  • Community/Retail Pharmacy
  • Bellflower, CA
National Provider Identifier
1023053345
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
46710 Issued in CA
Legal business name
BELLWOOD MEDICAL CENTER PHARMACY CORP
Doing business as
Bellwood Medical Center Pharmacy, Medicine Shoppe 2064
Practice address
10230 Artesia Blvd
Ste 101
Bellflower, CA 90706-6763
Phone
(562) 866-8281
Fax
(562) 866-3427
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan KimNPI 1720104292
Title
President
Phone
(562) 866-8281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 46710 CA Primary

Addresses

Primary practice location

10230 Artesia Blvd
Ste 101
Bellflower, CA 90706-6763

Mailing address

10230 E Artesia
Ste 101
Bellflower, CA 90706
Phone (562) 866-8281

Other identifiers 2

IdentifierTypeStateIssuer
1997711OtherPK
PHA467100MedicaidCA

Other names 1

  • Bellwood Medical Center Pharmacy, Medicine Shoppe 2064 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930069422 CA DME Supplier - Pharmacy 9335358209 Practice locations: Bellflower, CA
O20210203002741 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9335358209 Practice locations: Bellflower, CA

National Provider Directory

National Provider Directory
Tax ID family
Bellwood Medical Center Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10230 Artesia Blvd
Ste 101
Bellflower, CA 90706
Phone (562) 866-8281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1023053345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 E ARTESIA",
            "address_2": "STE 101",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "562-866-8281",
            "fax_number": "562-866-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "STE 101",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066763",
            "telephone_number": "562-866-8281",
            "fax_number": "562-866-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLWOOD MEDICAL CENTER PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-19",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-866-8281"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "46710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997711",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellwood Medical Center Pharmacy, Medicine Shoppe 2064",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.