Active NPI
Kenson Lam
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1114621075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87714
- Practice address
- 245 S Fetterly Ave
Los Angeles, CA 90022-1605 - Phone
- (323) 780-2399
- NPI assigned
- Mar 27, 2023
- 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 | 87714 | CA | Primary |
Addresses
Primary practice location
245 S Fetterly Ave
Los Angeles, CA 90022-1605
Mailing address
225 S Curtis Ave Apt D
Alhambra, CA 91801-3253
Phone (626) 320-7427
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1114621075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S CURTIS AVE APT D",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918013253",
"telephone_number": "626-320-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S FETTERLY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221605",
"telephone_number": "323-780-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "KENSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.