Ban Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BAN PHARMACY LLC

Practice address

43839 15TH St W Ste P
Lancaster, CA 93534-4756

Phone

(661) 200-0562

Fax

(866) 291-1447

NPI assigned

Jul 4, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Pham, PHARMDNPI 1508300799

Title

Ceo

Phone

(661) 200-0562

Specialties & licenses 2

Addresses

Other names 1

• High Desert Plaza Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Kim Dung Pham, PHARMD

  • Pharmacist
  • Highland, CA
  • NPI 1508300799
  NPD Authorized official

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1649957374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43839 15TH ST W STE P",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344756",
            "telephone_number": "661-200-0562",
            "fax_number": "866-291-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43839 15TH ST W STE P",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344756",
            "telephone_number": "661-200-0562",
            "fax_number": "866-291-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-200-0562",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Desert Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Patrick Bales
• Alexis Balina, RD
• Mywanza Ball, LVN,LPN/DOULA
• Elias Ballat, D.O.
• Erik Baltazar
• Jaleesa Renae Banks, PMHNP
• Bansi N. Vora M.D., Inc
• Marizelle Abad Banting
• Michael Banyar, C.P.T., C.E.S., B.S.
• Alina Rose Barajas

• Community/Retail Pharmacy in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.