Organization Active NPI

Kbba Inc

Doing business as B&a Pharmacy

  • Community/Retail Pharmacy
  • San Gabriel, CA
National Provider Identifier
1548688328
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KBBA INC
Doing business as
B&a Pharmacy
Practice address
230 E Valley Blvd
Suite #103
San Gabriel, CA 91776-6510
Phone
(213) 617-8099
Fax
(213) 617-7241
NPI assigned
Mar 31, 2014
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Mr. Brian P Wu, PHARM D
Title
President/Pic
Phone
(213) 617-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CA Primary

Addresses

Primary practice location

230 E Valley Blvd
Suite #103
San Gabriel, CA 91776-6510

Mailing address

230 E Valley Blvd
Suite #103
San Gabriel, CA 91776-6510
Phone (213) 617-8099

Other names 1

  • B&A PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

230 E Valley Blvd
Ste 103
San Gabriel, CA 91776
Phone (213) 617-8099

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1548688328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E VALLEY BLVD",
            "address_2": "SUITE #103",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917766510",
            "telephone_number": "213-617-8099",
            "fax_number": "213-617-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E VALLEY BLVD",
            "address_2": "SUITE #103",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917766510",
            "telephone_number": "213-617-8099",
            "fax_number": "213-617-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBBA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "213-617-8099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B&A PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.