NPIMap

Organization Active NPI

Alpha Medical Pharmacy II

  • Community/Retail Pharmacy
  • San Gabriel, CA
National Provider Identifier
1578871406
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALPHA MEDICAL PHARMACY II
Practice address
1418 S. San Gabriel Blvd.,
#A
San Gabriel, CA 91776
Phone
(626) 280-3131
Fax
(626) 280-3138
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Mr. Victor Fai Law
Title
President
Phone
(626) 280-3131

Specialties & licenses 1

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

Addresses

Primary practice location

1418 S. San Gabriel Blvd.,
#A
San Gabriel, CA 91776

Mailing address

1418 South San Gabriel Blvd
#A
San Gabriel, CA 91776
Phone (626) 280-3131

Other identifiers 1

IdentifierTypeStateIssuer
1578871406MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Alpha Medical Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1578871406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 SOUTH SAN GABRIEL BLVD",
            "address_2": "#A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-280-3131",
            "fax_number": "626-280-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S. SAN GABRIEL BLVD.,",
            "address_2": "#A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-280-3131",
            "fax_number": "626-280-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL PHARMACY II",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "FAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-280-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578871406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2021; 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.