Smart Computer Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45392 Issued in CA

Legal business name

SMART COMPUTER INC.

Practice address

1428 S San Gabriel Blvd
San Gabriel, CA 91776-3656

Phone

(626) 280-3060

Fax

(626) 280-1215

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Nina Wu, PHARMACIST

Title

Pharmacist in Charge

Phone

(626) 280-3060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOOD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1154431393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763656",
            "telephone_number": "626-280-3060",
            "fax_number": "626-280-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763656",
            "telephone_number": "626-280-3060",
            "fax_number": "626-280-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART COMPUTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "626-280-3060",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA453920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Judy Lo Sia Su, D.M.D.
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• Karen S Snyder, PSY.D.
• Kin Tak So, R.V.T
• Social Vocational Services, Inc.
• Andrew Soliman, DDS

• 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 Sep 6, 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.