Organization Active NPI

Webster'S Community Pharmacy

  • Community/Retail Pharmacy
  • Altadena, CA
National Provider Identifier
1629527254
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
73306 Issued in CA
Legal business name
WEBSTER'S COMMUNITY PHARMACY
Practice address
2450 Lake Ave
Altadena, CA 91001-2442
Phone
(626) 797-1163
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Gloria Ko
Title
Pharmacist
Phone
(626) 797-1163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 73306 CA Primary

Addresses

Primary practice location

2450 Lake Ave
Altadena, CA 91001-2442

Mailing address

2450 Lake Ave
Altadena, CA 91001-2442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1629527254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012442",
            "telephone_number": "626-797-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER'S COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "626-797-1163"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "73306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.