Active NPI
Jacqueline Koleong
- Pharmacist
- Alhambra, CA
National Provider Identifier
1588457717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH77171
- Practice address
- 3039 W Valley Blvd
Alhambra, CA 91803-1822 - Phone
- (626) 281-3799
- Fax
- (626) 281-0711
- NPI assigned
- May 28, 2025
- Last updated
- May 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH77171 | CA | Primary |
Addresses
Primary practice location
3039 W Valley Blvd
Alhambra, CA 91803-1822
Mailing address
11401 Vuepointe Way Unit D
El Monte, CA 91732-6218
Phone (562) 215-5615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH77171 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verdugo Plaza Pharmacy Inc | Current | Accepting new patients |
Locations
3039 W Valley Blvd
Alhambra, CA 91803
Phone (626) 281-3799
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1588457717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 VUEPOINTE WAY UNIT D",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917326218",
"telephone_number": "562-215-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3039 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918031822",
"telephone_number": "626-281-3799",
"fax_number": "626-281-0711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLEONG",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH77171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.