M a Jimenez Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHY35802 Issued in CA

Legal business name

M A JIMENEZ INC

Doing business as

Knoll's Prescription Pharmacy

Practice address

14300 Ramona Blvd
Baldwin Park, CA 91706-3241

Phone

(626) 337-1550

Fax

(626) 337-0660

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mario A. Jimenez, PHARM D.NPI 1891888111

Title

Pharmacist/Owner

Phone

(626) 337-1550

Specialties & licenses 1

Addresses

Other names 1

• Knoll's Prescription Pharmacy Doing business as

Locations

Practitioners 1

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

• Mario Alfredo Jimenez, PHARM. D.

  • Pharmacist
  • Baldwin Park, CA
  • NPI 1891888111

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1053596452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-337-1550",
            "fax_number": "626-337-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-337-1550",
            "fax_number": "626-337-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M A JIMENEZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "626-337-1550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY35802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knoll's Prescription Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christiana Divina Luna, RRT
• Teresa Luna, MD
• Vincent Luong, DPT
• Bill Ly, PHARMD
• Lynn Ly, NP
• Idalis Magana
• Nataly Graciela Magana
• Laura Ho Magtoto, MD
• Paul V. Magtoto, MD
• Jennifer Mah, MD

• Durable Medical Equipment & Medical Supplies in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.