BW One Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY53655 Issued in CA

Legal business name

BW ONE INC

Doing business as

BIG 1 Pharmacy LA

Practice address

656 N Broadway
Los Angeles, CA 90012-2802

Phone

(213) 617-7888

Fax

(213) 617-7241

NPI assigned

Aug 25, 2005

Organization subpart

No

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

Authorized official

Name

Brian WuNPI 1689900599

Title

Pharmd

Phone

(213) 617-7888

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BIG 1 Pharmacy LA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

BW One Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BW One, Inc.

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1023330073
  NPD tax ID

Locations

Practitioners 1

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

• Brian Pak Wu, PHARM.D.

  • Pharmacist
  • Los Angeles, CA
  • NPI 1689900599
  NPD Authorized official

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1447243324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122801",
            "telephone_number": "213-617-7888",
            "fax_number": "213-617-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122802",
            "telephone_number": "213-617-7888",
            "fax_number": "213-617-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BW ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "213-617-7888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY53655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA503880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG 1 Pharmacy LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imorie Buyard
• Jon Michael Buyle, PHD
• Serenitie Denise Buyse, DO
• BV General, Inc. (Buena Ventura Care Center)
• BVM Therapy Inc.
• BW One, Inc.
• Judith Bwinika
• By Zip Renal Care Services
• Marcia Byard, BSHS
• Amy Byars

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.