Active NPI
Big a Drug Stores Inc
Doing business as Camelot Drugstore
- Community/Retail Pharmacy
- Lomita, CA
National Provider Identifier
1619066263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BIG A DRUG STORES INC
- Doing business as
- Camelot Drugstore
- Practice address
- 2159 Pacific Coast Hwy
Lomita, CA 90717-2502 - Phone
- (310) 325-0150
- Fax
- (310) 325-6703
- NPI assigned
- Oct 12, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Dallal, RPH
- Title
- President
- Phone
- (562) 633-9578
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY43392 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2159 Pacific Coast Hwy
Lomita, CA 90717-2502
Mailing address
PO Box 31001-0803
Pasadena, CA 91110-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0545220 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PHA433920 | Medicaid | CA |
Other names 1
- CAMELOT DRUGSTORE
National Provider Directory
National Provider Directory- Tax ID family
- Big a Drug Stores Inc
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Long Beach, CA
- NPI 1174612725
-
dba Drug Emporium
- Community/Retail Pharmacy
- North Hollywood, CA
- NPI 1245329895
-
dba Drug Emporium
- Community/Retail Pharmacy
- Fountain Valley, CA
- NPI 1336238989
Locations
2159 Pacific Coast Hwy
Lomita, CA 90717
Phone (310) 325-0150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1619066263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001-0803",
"city": "PASADENA",
"state": "CA",
"postal_code": "911100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2159 PACIFIC COAST HWY",
"city": "LOMITA",
"state": "CA",
"postal_code": "907172502",
"telephone_number": "310-325-0150",
"fax_number": "310-325-6703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG A DRUG STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DALLAL",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-633-9578",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY43392",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0545220",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA433920",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAMELOT DRUGSTORE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lomita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.