Organization Active NPI

San Gabriel Pharmacy Inc

  • Pharmacy
  • San Gabriel, CA
National Provider Identifier
1053200048
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SAN GABRIEL PHARMACY INC
Practice address
828 E Valley Blvd Ste B
San Gabriel, CA 91776-4600
Phone
(626) 766-1779
NPI assigned
Jul 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Yang Bai
Title
Ceo
Phone
(626) 766-1779

Specialties & licenses 2

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

Addresses

Primary practice location

828 E Valley Blvd Ste B
San Gabriel, CA 91776-4600

Mailing address

828 E Valley Blvd Ste B
San Gabriel, CA 91776-4600
Phone (626) 766-1779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1053200048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 E VALLEY BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764600",
            "telephone_number": "626-766-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E VALLEY BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764600",
            "telephone_number": "626-766-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "BAI",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-766-1779"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.