Organization Active NPI

Berta P Choy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1386799419
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY39121 Issued in CA
Legal business name
BERTA P CHOY
Doing business as
FARMACIA DEL REY
Practice address
4055 E Olympic Blvd
Los Angeles, CA 90023-3345
Phone
(323) 262-8230
Fax
(323) 262-8395
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Berta Choy
Title
Pharmacist
Phone
(323) 262-8230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY39121 CA Primary

Addresses

Primary practice location

4055 E Olympic Blvd
Los Angeles, CA 90023-3345

Mailing address

PO Box 544
South Pasadena, CA 91031-0544
Phone (323) 262-8230

Other identifiers 2

IdentifierTypeStateIssuer
0541020OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA391210MedicaidCA

Other names 1

  • FARMACIA DEL REY Doing business as

National Provider Directory

National Provider Directory

Locations

4055 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 262-8230

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1386799419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910310544",
            "telephone_number": "323-262-8230",
            "fax_number": "323-262-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 E OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233345",
            "telephone_number": "323-262-8230",
            "fax_number": "323-262-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTA P CHOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "CHOY",
        "authorized_official_first_name": "BERTA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "323-262-8230"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY39121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0541020",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA391210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FARMACIA DEL REY",
            "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 Aug 17, 2009; 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.