NPIMap

Organization Active NPI

Whittier Pharmacy Inc

  • Long Term Care Pharmacy
  • Whittier, CA
National Provider Identifier
1194405035
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WHITTIER PHARMACY INC
Practice address
12291 Washington Blvd Ste 101
Whittier, CA 90606-2549
Phone
(562) 945-4166
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Minkyung KimNPI 1902126642
Title
Owner Pic
Phone
(562) 945-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

12291 Washington Blvd Ste 101
Whittier, CA 90606-2549

Mailing address

12291 Washington Blvd Ste 101
Whittier, CA 90606-2549
Phone (562) 945-4166

Other names 1

  • Whittier Intercommunity Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moon H Nam2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12291 Washington Blvd
Ste 101
Whittier, CA 90606
Phone (562) 945-4166

Practitioners & affiliated clinicians

Practitioners 3

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": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1194405035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062549",
            "telephone_number": "562-945-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062549",
            "telephone_number": "562-945-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTIER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINKYUNG",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "562-945-4166"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittier Intercommunity Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whittier Intercommunity Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.