Mi Enterprises LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY48675 Issued in CA

Legal business name

MI ENTERPRISES LLC

Doing business as

St Monica Pharmacy

Practice address

8575 Knott Ave
Ste D
Buena Park, CA 90620-3850

Phone

(714) 527-6078

Fax

(714) 527-7185

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Marvel July

Title

Pres

Phone

(741) 527-6078

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ST MONICA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1184893117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 KNOTT AVE",
            "address_2": "STE D",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203850",
            "telephone_number": "714-527-6078",
            "fax_number": "714-527-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 KNOTT AVE",
            "address_2": "STE D",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203850",
            "telephone_number": "714-527-6078",
            "fax_number": "714-527-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "JULY",
        "authorized_official_first_name": "MARVEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "741-527-6078"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY48675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5630872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST MONICA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.