Active NPI
Kiho Pai
- Pharmacy
- Norwalk, CA
National Provider Identifier
1508964768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY449740
- Legal business name
- KIHO PAI
- Practice address
- 15917 Pioneer Blvd
Norwalk, CA 90650-7117 - Phone
- (562) 402-6972
- Fax
- (562) 402-6072
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiho Pai, RPH
- Title
- Owner/Pharmacist
- Phone
- (562) 402-6972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY449740 | CA | Primary |
Addresses
Primary practice location
15917 Pioneer Blvd
Norwalk, CA 90650-7117
Mailing address
15917 Pioneer Blvd
Norwalk, CA 90650-7117
Phone (562) 402-6972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA449740 | Other | CA | MEDICAL |
Other names 1
- Pioneer Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170601001573 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830217348 | Practice locations: Norwalk, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Norwalk, CA
- NPI 1780211912
-
- Pharmacist
- Norwalk, CA
- NPI 1245683531
-
- Pharmacist
- Fort Knox, KY
- NPI 1962090258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1508964768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15917 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906507117",
"telephone_number": "562-402-6972",
"fax_number": "562-402-6072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15917 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906507117",
"telephone_number": "562-402-6972",
"fax_number": "562-402-6072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIHO PAI",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "PAI",
"authorized_official_first_name": "KIHO",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "562-402-6972",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY449740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "PHA449740",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pioneer Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.