NPIMap

Organization Active NPI

Target

  • Pharmacist
  • Rosemead, CA
National Provider Identifier
1124313853
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
54911 Issued in CA
Legal business name
TARGET
Practice address
3600 Rosemead Blvd
Rosemead, CA 91700
Phone
(626) 280-4908
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Miss Doris Fong
Title
Pharmacy Manager
Phone
(626) 280-4908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 54911 CA Primary

Addresses

Primary practice location

3600 Rosemead Blvd
Rosemead, CA 91700

Mailing address

3600 Rosemead Blvd
T-1411
Rosemead, CA 91770-2066
Phone (626) 280-4908

National Provider Directory

National Provider Directory

Locations

3600 Rosemead Blvd
#T1411
Rosemead, CA 91770
Phone (626) 280-4908

3600 Rosemead Blvd
Rosemead, CA 91770
Phone (626) 280-4908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1124313853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROSEMEAD BLVD",
            "address_2": "T-1411",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702066",
            "telephone_number": "626-280-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROSEMEAD BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "91700",
            "telephone_number": "626-280-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "626-280-4908",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "54911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.