Active NPI
KC Pharmacies, Inc.
- Pharmacist
- Glendale, CA
National Provider Identifier
1295723823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY43348
- Legal business name
- KC PHARMACIES, INC.
- Practice address
- 1540 E Colorado St
Glendale, CA 91205-1514 - Phone
- (818) 550-0218
- Fax
- (818) 550-0211
- NPI assigned
- Oct 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kirk Teruo Hiura, PHARMD.
- Title
- President/Pharmacist
- Phone
- (818) 550-0218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY43348 | CA | Primary |
Addresses
Primary practice location
1540 E Colorado St
Glendale, CA 91205-1514
Mailing address
1540 E Colorado St
Glendale, CA 91205-1514
Phone (818) 550-0218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0518146 | Other | CA | NABP |
| PHA433480 | Medicaid | CA |
Other names 1
- Verdugo Clinic Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295723823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051514",
"telephone_number": "818-550-0218",
"fax_number": "818-550-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051514",
"telephone_number": "818-550-0218",
"fax_number": "818-550-0211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KC PHARMACIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HIURA",
"authorized_official_first_name": "KIRK",
"authorized_official_middle_name": "TERUO",
"authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
"authorized_official_telephone_number": "818-550-0218",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY43348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0518146",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA433480",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Verdugo Clinic Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- 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.