Organization Active NPI

Tek Pharmacy Incorporated

  • Community/Retail Pharmacy
  • Torrance, CA
National Provider Identifier
1407829823
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50827 Issued in CA
Legal business name
TEK PHARMACY INCORPORATED
Doing business as
DEL AMO PHARMACY
Practice address
21320 Hawthorne Blvd
Ste 112
Torrance, CA 90503-5606
Phone
(310) 543-1331
Fax
(310) 543-0020
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Mr. Timothy T Wong, PHARM D
Title
Ceo/Pic
Phone
(310) 543-1331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50827 CA
Community/Retail Pharmacy 3336C0003X PHY50827 CA Primary

Addresses

Primary practice location

21320 Hawthorne Blvd
Ste 112
Torrance, CA 90503-5606

Mailing address

21320 Hawthorne Blvd
Ste 112
Torrance, CA 90503-5606
Phone (310) 543-1331

Other identifiers 2

IdentifierTypeStateIssuer
PHY 50827OtherCACALIFORNIA STATE BOARD OF PHARMACY
0512156OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DEL AMO PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

21320 Hawthorne Blvd
Ste 112
Torrance, CA 90503
Phone (310) 543-1331

21320 Hawthorne Blvd
#112
Torrance, CA 90503
Phone (310) 543-1331

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1407829823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "STE 112",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-543-1331",
            "fax_number": "310-543-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "STE 112",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-543-1331",
            "fax_number": "310-543-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEK PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "310-543-1331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50827",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHY 50827",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0512156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEL AMO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.