Active NPI
Brian B Min
- Pharmacy
- Alhambra, CA
National Provider Identifier
1689733784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY48957
- Legal business name
- BRIAN B MIN
- Practice address
- 1935 W Valley Blvd
Alhambra, CA 91803-2346 - Phone
- (626) 289-4343
- Fax
- (626) 289-9336
- NPI assigned
- Dec 6, 2006
- 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
- Brian B Min
- Title
- Owner Pharmacist
- Phone
- (626) 289-4343
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH35960 | CA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 48957 | CA | |
| Pharmacy | 333600000X | PHY48957 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1935 W Valley Blvd
Alhambra, CA 91803-2346
Mailing address
1935 W Valley Blvd
Alhambra, CA 91803-2346
Phone (626) 289-4343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA413380 | Medicaid | CA | |
| 0525432 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- VALLEY WEST MEDICAL PHARMACY
National Provider Directory
National Provider DirectoryLocations
1935 W Valley Blvd
Alhambra, CA 91803
Phone (626) 289-4343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1689733784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032346",
"telephone_number": "626-289-4343",
"fax_number": "626-289-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918032346",
"telephone_number": "626-289-4343",
"fax_number": "626-289-9336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN B MIN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "MIN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "626-289-4343"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH35960",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "48957",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY48957",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA413380",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0525432",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY WEST MEDICAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.