South Gate Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SOUTH GATE PHARMACY INC

Practice address

8200 Long Beach Blvd
Unit D-2
South Gate, CA 90280-2057

Phone

(323) 537-2837

Fax

(323) 537-4940

NPI assigned

Aug 29, 2015

Last updated

Jul 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paresh Dhanjibhai Patel

Title

President/Ceo

Phone

(323) 537-2837

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Huu Huynh

  • Pharmacist
  • South Gate, CA
  • NPI 1245692490
  NPD (past)

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1205203874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 LONG BEACH BLVD UNIT D-2",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802057",
            "telephone_number": "323-537-2837",
            "fax_number": "323-537-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 LONG BEACH BLVD",
            "address_2": "UNIT D-2",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802057",
            "telephone_number": "323-537-2837",
            "fax_number": "323-537-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GATE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "DHANJIBHAI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-537-2837"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY58563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in South Gate, CA
• Providers in South Gate, 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 Jul 12, 2022; 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.