Organization Active NPI

Kiho Pai

  • Pharmacy
  • Norwalk, CA
National Provider Identifier
1508964768
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY449740 Issued in CA
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

Updated by the provider on Aug 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA449740OtherCAMEDICAL

Other names 1

  • Pioneer Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601001573 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9830217348 Practice locations: Norwalk, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "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.

Verify at the official NPI Registry.