Active NPI
Kenny La
- Pharmacist
- Arcadia, CA
National Provider Identifier
1043826183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83227
- Practice address
- 612 W Duarte Rd Ste 102
Arcadia, CA 91007-9221 - Phone
- (626) 377-1951
- NPI assigned
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83227 | CA | Primary |
Addresses
Primary practice location
612 W Duarte Rd Ste 102
Arcadia, CA 91007-9221
Mailing address
11043 Klingerman St
El Monte, CA 91733-2822
Phone (626) 377-1951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83227 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KM Healthcare Inc | Current | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Locations
612 W Duarte Rd
Ste 102
Arcadia, CA 91007
Phone (626) 317-5001
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1043826183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11043 KLINGERMAN ST",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917332822",
"telephone_number": "626-377-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 W DUARTE RD STE 102",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910079221",
"telephone_number": "626-377-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "KENNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-23",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.