Organization Active NPI

Brian B Min

  • Pharmacy
  • Alhambra, CA
National Provider Identifier
1689733784
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY48957 Issued in CA
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

Updated by the provider on Jan 23, 2012

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PHA413380MedicaidCA
0525432OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • VALLEY WEST MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.