Kaju Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

36955 Issued in CA

Legal business name

KAJU PHARMACY INC

Practice address

8887 Garden Grove Blvd
Garden Grove, CA 92844-1249

Phone

(714) 539-6631

Fax

(714) 539-6660

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Scott Kim, RPHNPI 1588290738

Title

Owner and Pic

Phone

(714) 539-6631

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KAJU PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott H Kim, PHARMD

  • Pharmacist
  • Garden Grove, CA
  • NPI 1588290738
  NPD Authorized official
• Myung Churl Lee

  • Pharmacist
  • Garden Grove, CA
  • NPI 1518672518
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1215020649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8887 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441249",
            "telephone_number": "714-539-6631",
            "fax_number": "714-539-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8887 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441249",
            "telephone_number": "714-539-6631",
            "fax_number": "714-539-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAJU PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "714-539-6631",
        "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": "36955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1993898",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA369550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAJU PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jvek Kitchen LLC
• K2 Pharmacy, Inc
• Fariba Kabiri Feijani
• Kaiser Foundation Health Plan Inc
• Kaiser Permanente
• Shreya Nitin Kakade
• Kristina Corbett Kalatschan
• Rachel Kalter, PA-C
• Ashish Harji Kalthia, MD
• Amirah Laila Al-Hedari Kambe

• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, 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 Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.