Kim Son Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KIM SON PHARMACY

Practice address

625 E Valley Blvd
Suite J
San Gabriel, CA 91776-3591

Phone

(626) 571-5967

Fax

(626) 571-5968

NPI assigned

Nov 3, 2006

Last updated

Feb 19, 2009By 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

Kim CHI Nguyen

Title

Pic

Phone

(626) 571-5967

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Beatrice Bich-Van Nghiem, RPH

  • Pharmacist
  • San Gabriel, CA
  • NPI 1851536940
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1578642245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E VALLEY BLVD",
            "address_2": "STE J",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763591",
            "telephone_number": "626-571-5967",
            "fax_number": "626-571-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E VALLEY BLVD",
            "address_2": "SUITE J",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763591",
            "telephone_number": "626-571-5967",
            "fax_number": "626-571-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM SON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIM CHI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "626-571-5967"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA345770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0578522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Liang, DDS, Inc. (28 Teeth Dental Group)
• Kevin Yao MD Inc
• Khee H Tan M D Inc
• Kiet Xuan Ngo DDS Inc.
• Kim Shiu-Chin Yang M.D.,Inc.
• Aldameda Kim, RD
• David Dohoon Kim, M.D.
• Faith Kim
• Heejoung Kim, DDS
• Kwon Soon Yoo Kim, NURSE PRACTIONER

• Community/Retail Pharmacy in San Gabriel, CA
• Providers in San Gabriel, 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 Feb 19, 2009; 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.