Organization Active NPI

James a Wilson

  • Community/Retail Pharmacy
  • Arcadia, CA
National Provider Identifier
1346324464
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY36222 Issued in CA
Legal business name
JAMES A WILSON
Practice address
107 W Huntington Dr
Ste a
Arcadia, CA 91007-3026
Phone
(626) 446-4400
Fax
(626) 447-2320
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
James Wilson, PHRM
Title
Owner
Phone
(626) 447-4572

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY36222 CA Primary

Addresses

Primary practice location

107 W Huntington Dr
Ste a
Arcadia, CA 91007-3026

Mailing address

107 W Huntington Dr
Ste a
Arcadia, CA 91007-3026
Phone (626) 446-4400

Other identifiers 1

IdentifierTypeStateIssuer
2028484OtherPK

Other names 1

  • SIX TWELVE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

107 W Huntington Dr
Ste A
Arcadia, CA 91007
Phone (626) 446-4400

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1346324464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W HUNTINGTON DR",
            "address_2": "STE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073026",
            "telephone_number": "626-446-4400",
            "fax_number": "626-446-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W HUNTINGTON DR",
            "address_2": "STE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073026",
            "telephone_number": "626-446-4400",
            "fax_number": "626-447-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-447-4572",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIX TWELVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.