Herbert Y H & Jean C N King

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY34972 Issued in CA

Legal business name

HERBERT Y H & JEAN C N KING

Doing business as

Kings Pharmacy

Practice address

1060 E Foothill Blvd
Ste 101
Upland, CA 91786-4027

Phone

(909) 982-1778

Fax

(909) 981-3418

NPI assigned

Dec 28, 2006

Last updated

Dec 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean King, PHARMD

Title

Pharm

Phone

(909) 982-1778

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KINGS PHARMACY Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1548326424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E FOOTHILL BLVD",
            "address_2": "STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864027",
            "telephone_number": "909-982-1778",
            "fax_number": "909-981-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E FOOTHILL BLVD",
            "address_2": "STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864027",
            "telephone_number": "909-982-1778",
            "fax_number": "909-981-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT Y H & JEAN C N KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PHARM",
        "authorized_official_telephone_number": "909-982-1778",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA349720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0502181",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milagros Lizeth Henriquez
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• Kristina Henry, SLPA
• John Hephner
• Amanda Alyssa Hernandez
• Andrea Hernandez
• Diana E Hernandez
• Maria Hernandez
• Marisol Hernandez

• Community/Retail Pharmacy in Upland, CA
• Providers in Upland, 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 Dec 7, 2010; 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.