Jenny Yan Yam

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY41098 Issued in CA

Legal business name

JENNY YAN YAM

Doing business as

Smith Pharmacy

Practice address

1732 S Western Ave
Los Angeles, CA 90006-5804

Phone

(323) 733-9390

Fax

(323) 766-8251

NPI assigned

Oct 25, 2006

Last updated

Jun 24, 2008By 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

Ms. Jenny Yan Yam, PHARM.D

Title

Owner

Phone

(323) 733-9390

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SMITH PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1245315662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065804",
            "telephone_number": "323-733-9390",
            "fax_number": "323-766-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065804",
            "telephone_number": "323-733-9390",
            "fax_number": "323-766-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY YAN YAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "YAM",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-733-9390",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY41098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA410980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMITH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri J Jennings, L.AC
• Vernetta Jennings
• Jenny Garcia DDS Inc
• Jenny M Hwang Incorporated
• Jenny M. Hwang
• Aaron R Jensen, MD
• Amy Jensen
• Bjorn Benjamin Jensen, M.D.
• Charlotte Jensen
• Dennis Michael Jensen, MD

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 24, 2008; 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.