Active NPI
Ivan Law, RPH
- Pharmacist
- Palmdale, CA
National Provider Identifier
1083063473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50725
- Practice address
- 540 W Palmdale Blvd # a
Palmdale, CA 93551-4232 - Phone
- (661) 267-2638
- Fax
- (661) 267-0813
- NPI assigned
- Jun 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 50725 | CA | Primary |
Addresses
Primary practice location
540 W Palmdale Blvd # a
Palmdale, CA 93551-4232
Mailing address
540 W Palmdale Blvd # a
Palmdale, CA 93551-4232
Phone (661) 267-2638
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50725 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmdale Medical Pharmacy Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1083063473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 W PALMDALE BLVD # A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514232",
"telephone_number": "661-267-2638",
"fax_number": "661-267-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W PALMDALE BLVD # A",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935514232",
"telephone_number": "661-267-2638",
"fax_number": "661-267-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "IVAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.