Organization Active NPI

Kyodo Drug

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1326059908
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY35725 Issued in CA
Legal business name
KYODO DRUG
Practice address
420 E 3Rd St Ste 106
Los Angeles, CA 90013-1645
Phone
(213) 628-3894
Fax
(213) 628-9897
NPI assigned
Aug 10, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Tom Okita
Title
President
Phone
(213) 628-3894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY35725 CA Primary

Addresses

Primary practice location

420 E 3Rd St Ste 106
Los Angeles, CA 90013-1645

Mailing address

420 E 3Rd St Ste 106
Los Angeles, CA 90013-1645

Other identifiers 3

IdentifierTypeStateIssuer
0536017OtherOTHER ID NUMBER
0536017OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHA357250MedicaidCA

National Provider Directory

National Provider Directory

Locations

420 E 3rd St
Ste 106
Los Angeles, CA 90013
Phone (213) 253-5999

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1326059908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-628-3894",
            "fax_number": "213-628-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYODO DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "OKITA",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-628-3894"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY35725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0536017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0536017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA357250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 14, 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.