Pharmmed Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMMED INC

Practice address

360 E Las Tunas Dr Ste 101a
San Gabriel, CA 91776-5514

Phone

(626) 656-6955

Fax

(626) 656-6956

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Yuco Yue

Title

Pic/Owner

Phone

(626) 656-6955

Specialties & licenses 1

Addresses

Other names 1

• LAS TUNAS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1053959189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E LAS TUNAS DR STE 101A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765514",
            "telephone_number": "626-656-6955",
            "fax_number": "626-656-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E LAS TUNAS DR STE 101A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765514",
            "telephone_number": "626-656-6955",
            "fax_number": "626-656-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "YUE",
        "authorized_official_first_name": "YUCO",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "626-656-6955"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAS TUNAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nam Pham, DO
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• Elaine Hang Phan, MA, BCBA
• Jennifer Phan
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• Community/Retail Pharmacy in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.