NPIMap

Organization Active NPI

AIDS Health Foundation

  • Pharmacist
  • Gardena, CA
National Provider Identifier
1093057598
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
AIDS HEALTH FOUNDATION
Practice address
19300 S. Hamilton Ave.
Ste 170
Gardena, CA 90248
Phone
(310) 771-0619
Fax
(310) 771-0621
NPI assigned
Mar 22, 2013
Last updated
Mar 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Jacquelyn Denise Mims, PHARM.D.
Title
Pharmacist
Phone
(310) 771-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X NU Primary

Addresses

Primary practice location

19300 S. Hamilton Ave.
Ste 170
Gardena, CA 90248

Mailing address

19300 S. Hamilton Avenue
Ste 170
Gardena, CA 90248
Phone (310) 771-0619

National Provider Directory

National Provider Directory
Tax ID family
AIDS Healthcare Foundat93 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1093057598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 S. HAMILTON AVENUE",
            "address_2": "STE 170",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "310-771-0619",
            "fax_number": "310-771-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 S. HAMILTON AVE.",
            "address_2": "STE 170",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "310-771-0619",
            "fax_number": "310-771-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-771-0619",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.