Organization Active NPI

Maxson Medical Pharmacy Inc

  • Community/Retail Pharmacy
  • West Covina, CA
National Provider Identifier
1225135114
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY33095 Issued in CA
Legal business name
MAXSON MEDICAL PHARMACY INC
Practice address
933 S Sunset Ave Ste 107
West Covina, CA 91790-3414
Phone
(626) 338-1143
Fax
(626) 962-8007
NPI assigned
Sep 20, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Dr. King Law, PHARMDNPI 1609057496
Title
Pharmacist in Charge/President/Ceo
Phone
(626) 338-1143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY33095 CA Primary

Addresses

Primary practice location

933 S Sunset Ave Ste 107
West Covina, CA 91790-3414

Mailing address

933 S Sunset Ave Ste 107
West Covina, CA 91790-3414
Phone (626) 338-1143

Other identifiers 1

IdentifierTypeStateIssuer
PHA330950MedicaidCA

National Provider Directory

National Provider Directory

Locations

933 S Sunset Ave
Ste 107
West Covina, CA 91790
Phone (626) 338-1143

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1225135114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 107",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903414",
            "telephone_number": "626-338-1143",
            "fax_number": "626-962-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 107",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903414",
            "telephone_number": "626-338-1143",
            "fax_number": "626-962-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXSON MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "KING",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-338-1143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY33095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA330950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.