Organization Active NPI

PBD Inc

Doing business as Pill Box Drug

  • Community/Retail Pharmacy
  • Redondo Beach, CA
National Provider Identifier
1194880518
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43286 Issued in CA
Legal business name
PBD INC
Doing business as
Pill Box Drug
Practice address
165 Palos Verdes Blvd
Redondo Beach, CA 90277-5808
Phone
(310) 378-9487
Fax
(310) 378-2468
NPI assigned
Dec 26, 2006
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Patrick Hwang, RPH
Title
President and Pharm
Phone
(310) 378-9487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY43286 CA Primary

Addresses

Primary practice location

165 Palos Verdes Blvd
Redondo Beach, CA 90277-5808

Mailing address

165 Palos Verdes Blvd
Redondo Beach, CA 90277-5808

Other identifiers 2

IdentifierTypeStateIssuer
PHA432860MedicaidCA
0512702OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PILL BOX DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

165 Palos Verdes Blvd
Redondo Beach, CA 90277
Phone (310) 378-9487

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1194880518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PALOS VERDES BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PALOS VERDES BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775808",
            "telephone_number": "310-378-9487",
            "fax_number": "310-378-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT AND PHARM",
        "authorized_official_telephone_number": "310-378-9487",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA432860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0512702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PILL BOX DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.