San Miguel Pharmacy,Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

46505 Issued in CA

Legal business name

SAN MIGUEL PHARMACY,INC

Practice address

4476 Tweedy Blvd
South Gate, CA 90280-6359

Phone

(323) 563-3233

Fax

(323) 563-3934

NPI assigned

Oct 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Grachuy Arutyunyan, RPH

Title

Ceo,Pharmacist in Charge

Phone

(323) 563-3233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225121577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806359",
            "telephone_number": "323-563-3233",
            "fax_number": "323-563-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806359",
            "telephone_number": "323-563-3233",
            "fax_number": "323-563-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MIGUEL PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARUTYUNYAN",
        "authorized_official_first_name": "GRACHUY",
        "authorized_official_title_or_position": "CEO,PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "323-563-3233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "46505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams West Inc (Sams Pharmacy 10-6626)
• San Angel Dental Management Company
• San Cristobal Medical Group
• San Martin de Porres Medical Clinic of South Gate, Inc
• San Miguel Medical Clinic, Inc
• Alicia Kim Sanchez, MD
• Brenda Sanchez
• Dennis James Sanchez, M.D.
• Jonathan Sanchez
• Kimberly Sanchez

• 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 Aug 22, 2020; 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.