Olympic Gerhart Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 53845 Issued in CA

Legal business name

OLYMPIC GERHART PHARMACY INC

Practice address

5724 E Olympic Blvd
Commerce, CA 90022-5120

Phone

(323) 722-1515

Fax

(323) 722-2083

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jae C Suh, RPHNPI 1093240970

Title

President/ Pharmacist in Charge

Phone

(323) 722-1515

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Jae Suh, PHARMD

  • Pharmacist
  • Commerce, CA
  • NPI 1093240970
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1689775306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 E OLYMPIC BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225120",
            "telephone_number": "323-722-1515",
            "fax_number": "323-722-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 E OLYMPIC BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225120",
            "telephone_number": "323-722-1515",
            "fax_number": "323-722-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC GERHART PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "323-722-1515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "PHY53845",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PHY 53845",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA468320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "05-98625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Jannette Olide
• Lorena Olin
• Joy Oliver-Banks
• Maria Olmedo
• Pedro Olvera
• On Site Physician Services, PC
• Luis Omar Ontiveros, MD
• Denise Orduno
• Maria De Jesus Ornelas
• Rosa Maria Ornelas, PSYD

• Community/Retail Pharmacy in Commerce, CA
• Providers in Commerce, 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 Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.