NPIMap

Organization Active NPI

Mia Pharmacy Inc

  • Community/Retail Pharmacy
  • Woodland Hills, CA
National Provider Identifier
1063808939
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51732 Issued in CA
Legal business name
MIA PHARMACY INC
Practice address
22554 Ventura Blvd
Woodland Hills, CA 91364-1413
Phone
(818) 222-9877
Fax
(818) 222-7389
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Mihwa Bang, RPHNPI 1699159087
Title
Owner,Pic,Ao
Phone
(818) 222-9877

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 51732 CA Primary

Addresses

Primary practice location

22554 Ventura Blvd
Woodland Hills, CA 91364-1413

Mailing address

22554 Ventura Blvd
#100
Woodland Hills, CA 91364-1413
Phone (818) 222-9877

Other identifiers 1

IdentifierTypeStateIssuer
2151452OtherPK

Other names 1

  • West Valley Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

22554 Ventura Blvd
Ste 100
Woodland Hills, CA 91364
Phone (818) 222-9877

22554 Ventura Blvd
#100
Woodland Hills, CA 91364

22554 Ventura Blvd
Woodland Hls, CA 91364
Phone (818) 222-9877

Practitioners & affiliated clinicians

Practitioners 2

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": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1063808939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD",
            "address_2": "#100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641413",
            "telephone_number": "818-222-9877",
            "fax_number": "818-222-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22554 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641413",
            "telephone_number": "818-222-9877",
            "fax_number": "818-222-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "MIHWA",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "818-222-9877",
        "authorized_official_credential": "RPH"
    },
    "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": "51732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.