Organization Active NPI

Three Twenty One Pharmacy

  • Public Health or Welfare Agency
  • Los Angeles, CA
National Provider Identifier
1194865006
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
PHY22971 Issued in CA
Legal business name
THREE TWENTY ONE PHARMACY
Practice address
310 E 2ND St
None
Los Angeles, CA 90012-4221
Phone
(213) 680-3822
Fax
(213) 680-2028
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Mr. Tom Hayata, PHARM.D
Title
Pharmacist
Phone
(213) 680-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X PHY22971 CA Primary

Addresses

Primary practice location

310 E 2ND St
None
Los Angeles, CA 90012-4221

Mailing address

310 E 2ND St
Three Twenty One Pharmacy
Los Angeles, CA 90012-4221
Phone (213) 680-3822

Other identifiers 1

IdentifierTypeStateIssuer
9106738MedicaidCA

Other names 1

  • none Former legal business name

National Provider Directory

National Provider Directory

Locations

310 E 2nd St
#Three
Los Angeles, CA 90012

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1194865006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 2ND ST",
            "address_2": "THREE TWENTY ONE PHARMACY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124221",
            "telephone_number": "213-680-3822",
            "fax_number": "213-680-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 2ND ST",
            "address_2": "NONE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124221",
            "telephone_number": "213-680-3822",
            "fax_number": "213-680-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE TWENTY ONE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "HAYATA",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "213-680-3822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "PHY22971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9106738",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 26, 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.