NPIMap

Organization Active NPI

May Corporation

Doing business as DBA Kim Pharmacy

  • Pharmacy
  • Rosemead, CA
National Provider Identifier
1417944695
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY49967 Issued in CA
Legal business name
MAY CORPORATION
Doing business as
DBA Kim Pharmacy
Practice address
8736 E. Valley Blvd.
#A
Rosemead, CA 91770
Phone
(626) 288-4165
Fax
(626) 288-2376
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Ms. Stacy Lam, PHARMACIST
Title
President
Phone
(626) 288-4165

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X PHY36554 CA
Pharmacy 333600000X PHY49967 CA Primary

Addresses

Primary practice location

8736 E. Valley Blvd.
#A
Rosemead, CA 91770

Mailing address

8736 E. Valley Blvd.
#A
Rosemead, CA 91770
Phone (626) 288-4165

Other identifiers 1

IdentifierTypeStateIssuer
PHA365540MedicaidCA

Other names 1

  • DBA Kim Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

8736 Valley Blvd
Ste A
Rosemead, CA 91770
Phone (626) 288-4165

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1417944695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 E. VALLEY BLVD.",
            "address_2": "#A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "91770",
            "telephone_number": "626-288-4165",
            "fax_number": "626-288-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8736 E. VALLEY BLVD.",
            "address_2": "#A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "91770",
            "telephone_number": "626-288-4165",
            "fax_number": "626-288-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-288-4165",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY36554",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY49967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA365540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Kim Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosemead, CA

Sources for this page

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