Organization Active NPI

Illuminate Health Inc

  • Long Term Care Pharmacy
  • El Monte, CA
National Provider Identifier
1215769609
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ILLUMINATE HEALTH INC
Practice address
3948 Peck Rd # A9
El Monte, CA 91732-2255
Phone
(626) 522-1013
Fax
(626) 995-1550
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Lilia Xu
Title
Pharmacist in Charge
Phone
(626) 522-1013

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3948 Peck Rd # A9
El Monte, CA 91732-2255

Mailing address

3948 Peck Rd # A9
El Monte, CA 91732-2255
Phone (626) 522-1013

National Provider Directory

National Provider Directory
Tax ID family
Illuminate Health Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1215769609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 PECK RD # A9",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322255",
            "telephone_number": "626-522-1013",
            "fax_number": "626-995-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 PECK RD # A9",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322255",
            "telephone_number": "626-522-1013",
            "fax_number": "626-995-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "LILIA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "626-522-1013"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.