Prime RX San Gabriel, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PRIME RX SAN GABRIEL, INC.

Doing business as

Prime Rx San Gabriel

Practice address

533 W Las Tunas Dr # 102
San Gabriel, CA 91776-1133

Phone

(626) 656-6939

Fax

(626) 656-6593

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Donald Han

Title

Ceo

Phone

(626) 656-6939

Specialties & licenses 2

Addresses

Other names 1

• Prime Rx San Gabriel Doing business as

Locations

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1114532231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W LAS TUNAS DR # 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761133",
            "telephone_number": "213-234-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W LAS TUNAS DR # 102",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761133",
            "telephone_number": "626-656-6939",
            "fax_number": "626-656-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME RX SAN GABRIEL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-656-6939"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Rx San Gabriel",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Rx San Gabriel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Jun 17, 2025; 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.