Organization Active NPI

321 Pharmacy Inc

Doing business as 321 Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1598801102
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY22971 Issued in CA
Legal business name
321 PHARMACY INC
Doing business as
321 Pharmacy
Practice address
310 E 2ND St
Los Angeles, CA 90012-4221
Phone
(213) 680-3822
Fax
(213) 680-2028
NPI assigned
Jan 30, 2007
Last updated
Dec 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Tom Hayata
Title
Owner
Phone
(213) 680-3822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY22971 CA Primary

Addresses

Primary practice location

310 E 2ND St
Los Angeles, CA 90012-4221

Mailing address

310 E 2ND St
Los Angeles, CA 90012-4221
Phone (213) 680-3822

Other identifiers 2

IdentifierTypeStateIssuer
PHA229710MedicaidCA
0527094OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • 321 PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

310 E 2nd St
Los Angeles, CA 90012
Phone (213) 680-3822

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1598801102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 2ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124221",
            "telephone_number": "213-680-3822",
            "fax_number": "213-680-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 2ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124221",
            "telephone_number": "213-680-3822",
            "fax_number": "213-680-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "321 PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "HAYATA",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-680-3822"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY22971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA229710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0527094",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "321 PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.