NPIMap

Organization Active NPI

Merced Medical Pharmacy

  • Pharmacy
  • West Covina, CA
National Provider Identifier
1568647758
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY 48915 Issued in CA
Legal business name
MERCED MEDICAL PHARMACY
Practice address
1515 W Merced Ave
West Covina, CA 91790-3403
Phone
(626) 962-3685
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. Minah Kim, PHARM. D.NPI 1073744264
Title
Owner
Phone
(626) 962-3685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 48915 CA Primary

Addresses

Primary practice location

1515 W Merced Ave
West Covina, CA 91790-3403

Mailing address

1515 W Merced Ave
West Covina, CA 91790-3403
Phone (626) 962-3685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1568647758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903403",
            "telephone_number": "626-962-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903403",
            "telephone_number": "626-962-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-962-3685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 48915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.