Active NPI
Jason Nam, PHARM.D.
- Pharmacist
- Downey, CA
National Provider Identifier
1073053856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75535
- Practice address
- 8030 Imperial Hwy
Downey, CA 90242-3714 - Phone
- (562) 861-6186
- NPI assigned
- Feb 28, 2017
- Last updated
- Feb 28, 2017
- 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 | 75535 | CA | Primary |
Addresses
Primary practice location
8030 Imperial Hwy
Downey, CA 90242-3714
Mailing address
8030 Imperial Hwy
Downey, CA 90242-3714
Phone (562) 861-6186
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75535 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1073053856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8030 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423714",
"telephone_number": "562-861-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8030 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902423714",
"telephone_number": "562-861-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAM",
"first_name": "JASON",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.