Individual provider Active NPI

Shang Xie

  • Pharmacist
  • Bell Gardens, CA
National Provider Identifier
1437807526
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85695 Issued in CA
Practice address
7625 Eastern Ave Ste E
Bell Gardens, CA 90201-4515
Phone
(562) 381-0048
NPI assigned
Mar 17, 2022
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85695 CA Primary

Addresses

Primary practice location

7625 Eastern Ave Ste E
Bell Gardens, CA 90201-4515

Mailing address

7625 Eastern Ave Ste E
Bell Gardens, CA 90201-4515
Phone (562) 381-0048

Other practice location 1

18397 Colima Rd
Rowland Heights, CA 91748-2749
Phone (626) 581-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85695CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime RX Bell Gardens, Inc. CurrentSince Apr 3, 2022 Accepting new patients

Locations

7625 Eastern Ave
Ste E
Bell Gardens, CA 90201
Phone (562) 381-0048

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1437807526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 EASTERN AVE STE E",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014515",
            "telephone_number": "562-381-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 EASTERN AVE STE E",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014515",
            "telephone_number": "562-381-0048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18397 Colima Rd",
            "address_purpose": "LOCATION",
            "city": "Rowland Heights",
            "state": "CA",
            "postal_code": "917482749",
            "country_code": "US",
            "telephone_number": "626-581-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIE",
        "first_name": "SHANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.