Organization Active NPI

Meiji Pharmacy Inc

  • Community/Retail Pharmacy
  • Gardena, CA
National Provider Identifier
1619924297
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45293 Issued in CA
Legal business name
MEIJI PHARMACY INC
Doing business as
MEIJI PHARMACY
Practice address
1630 W Redondo Beach Blvd
Ste 14
Gardena, CA 90247-3200
Phone
(310) 538-2885
Fax
(310) 538-0609
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Allison Akemi Yamashita, RPH
Title
Pharmacist
Phone
(310) 538-2885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY45293 CA Primary

Addresses

Primary practice location

1630 W Redondo Beach Blvd
Ste 14
Gardena, CA 90247-3200

Mailing address

1630 W Redondo Beach Blvd
Ste 14
Gardena, CA 90247-3200
Phone (310) 538-2885

Other identifiers 3

IdentifierTypeStateIssuer
1619924297MedicaidCA
PHY60603OtherCAPHARMACY PERMIT
1998599OtherPK

Other names 1

  • MEIJI PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231205001502 CA Part B Supplier - Pharmacy 7517178239 Practice locations: Gardena, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1619924297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W REDONDO BEACH BLVD",
            "address_2": "STE 14",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473200",
            "telephone_number": "310-538-2885",
            "fax_number": "310-538-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W REDONDO BEACH BLVD",
            "address_2": "STE 14",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473200",
            "telephone_number": "310-538-2885",
            "fax_number": "310-538-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEIJI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "YAMASHITA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "AKEMI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "310-538-2885",
        "authorized_official_credential": "RPH"
    },
    "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": "PHY45293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619924297",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHY60603",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998599",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEIJI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.