Organization Active NPI

Ashley & J Pharmacy Corp

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1619019593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 40147 Issued in CA
Legal business name
ASHLEY & J PHARMACY CORP
Practice address
1818 S Western Ave
100
Los Angeles, CA 90006-5807
Phone
(323) 731-8304
Fax
(323) 731-0158
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Seung Yol Kim, PHARMACY
Title
Pharmacist in Charge
Phone
(323) 731-8304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RPH 40147 CA Primary

Addresses

Primary practice location

1818 S Western Ave
100
Los Angeles, CA 90006-5807

Mailing address

1818 S Western Ave
100
Los Angeles, CA 90006-5807
Phone (323) 731-8304

Other identifiers 1

IdentifierTypeStateIssuer
PHA392670MedicaidCA

Other names 1

  • ross medical pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1818 S Western Ave
Ste 100
Los Angeles, CA 90006
Phone (323) 731-8304

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619019593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "323-731-8304",
            "fax_number": "323-731-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "323-731-8304",
            "fax_number": "323-731-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY & J PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "YOL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "323-731-8304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 40147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA392670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ross medical 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 Aug 22, 2020; 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.