KL Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54227 Issued in CA

Legal business name

KL PHARMACY CORPORATION

Doing business as

Katrina Pharmacy

Practice address

4718 W 1St St Ste 101
Santa Ana, CA 92703-3106

Phone

(657) 231-6850

Fax

(888) 671-7563

NPI assigned

Oct 17, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Katrina Lam, PHARM.DNPI 1144699083

Title

Ceo/Pharmacist

Phone

(714) 856-7925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Katrina Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina Lam

  • Pharmacist
  • Lakewood, CA
  • NPI 1144699083
  NPD Authorized official

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1346611225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 W 1ST ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033106",
            "telephone_number": "657-231-6850",
            "fax_number": "888-671-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 W 1ST ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033106",
            "telephone_number": "657-231-6850",
            "fax_number": "888-671-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KL PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CEO/PHARMACIST",
        "authorized_official_telephone_number": "714-856-7925",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346611225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katrina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Katrina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Kirschner
• Erika Kiseloff, ABAT
• Natsumi Kitami, RBT
• Tiare Kitiona
• Kiwoong Lee DDS, Inc.
• Alysa Klassen
• Margreta Klassen, PHD
• Earl Jay Klebe, LCSW
• Marlowe Klein, NP
• Patricia Marie Klein, RN

• Community/Retail Pharmacy in Santa Ana, CA
• Providers in Santa Ana, 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 Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.