Organization Active NPI

CNS Pharmacy Inc

Doing business as CareMax Pharmacy #4

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1245426964
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CNS PHARMACY INC
Doing business as
CareMax Pharmacy #4
Practice address
2426 W 8TH St
Ste 102
Los Angeles, CA 90057-3979
Phone
(213) 385-9926
Fax
(213) 385-9927
NPI assigned
Sep 17, 2007
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Chang Ho Yoo
Title
Owner
Phone
(213) 385-9926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2426 W 8TH St
Ste 102
Los Angeles, CA 90057-3979

Mailing address

2426 W 8TH St
Ste 102
Los Angeles, CA 90057-3979
Phone (213) 385-9926

Other identifiers 1

IdentifierTypeStateIssuer
2154773OtherPK

Other names 1

  • CareMax Pharmacy #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caremax Pharmacy2 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.

Locations

2426 W 8th St
Ste 102
Los Angeles, CA 90057
Phone (213) 385-9926

Practitioners & affiliated clinicians

Practitioners 2

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": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1245426964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573979",
            "telephone_number": "213-385-9926",
            "fax_number": "213-385-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 W 8TH ST",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573979",
            "telephone_number": "213-385-9926",
            "fax_number": "213-385-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-385-9926"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMax Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareMax Pharmacy #4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.