Organization Active NPI

BKNC Pharmacies Inc

  • Community/Retail Pharmacy
  • Compton, CA
National Provider Identifier
1407950454
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48194 Issued in CA
Legal business name
BKNC PHARMACIES INC
Practice address
555 W Compton Blvd
Ste 102
Compton, CA 90220-3085
Phone
(310) 537-2337
Fax
(310) 537-2359
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Bharat Gandhi
Title
Phcy Tech
Phone
(562) 676-8138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48194 CA Primary

Addresses

Primary practice location

555 W Compton Blvd
Ste 102
Compton, CA 90220-3085

Mailing address

555 W Compton Blvd
Ste 102
Compton, CA 90220-3085
Phone (310) 537-2337

Other identifiers 2

IdentifierTypeStateIssuer
5623360OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA481940MedicaidCA

Other names 1

  • COMPTON COMM PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220315001051 CA Part B Supplier - Pharmacy 9032314315 Practice locations: Compton, CA

National Provider Directory

National Provider Directory

Locations

555 W Compton Blvd
Ste 102
Compton, CA 90220
Phone (310) 537-2337

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1407950454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W COMPTON BLVD",
            "address_2": "STE 102",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203085",
            "telephone_number": "310-537-2337",
            "fax_number": "310-537-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W COMPTON BLVD",
            "address_2": "STE 102",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203085",
            "telephone_number": "310-537-2337",
            "fax_number": "310-537-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKNC PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_title_or_position": "PHCY TECH",
        "authorized_official_telephone_number": "562-676-8138"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5623360",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA481940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPTON COMM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.