Active NPI
Verdugo Plaza Pharmacy Inc
- Pharmacy
- Alhambra, CA
National Provider Identifier
1689848269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- VERDUGO PLAZA PHARMACY INC
- Doing business as
- VERDUGO PLAZA PHARMACY ALHAMBRA
- Practice address
- 3039 W Valley Blvd
Alhambra, CA 91803-1822 - Phone
- (626) 281-3799
- Fax
- (626) 281-0711
- NPI assigned
- Apr 15, 2008
- 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
- Lawrence Wong
- Title
- President
- Phone
- (626) 281-3799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | PHY49003 | CA |
Addresses
Primary practice location
3039 W Valley Blvd
Alhambra, CA 91803-1822
Mailing address
3039 W Valley Blvd
Alhambra, CA 91803-1822
Phone (626) 281-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2113472 | Other | PK |
Other names 1
- VERDUGO PLAZA PHARMACY ALHAMBRA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930087319 | CA | DME Supplier - Pharmacy | 1153441951 | Practice locations: Alhambra, CA |
| O20210720002022 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1153441951 | Practice locations: Alhambra, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Verdugo Plaza Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Glendale, CA
- NPI 1689618837
-
- Pharmacist
- Alhambra, CA
- NPI 1588457717
-
- Pharmacist
- Sacramento, CA
- NPI 1467245696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1689848269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3039 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918031822",
"telephone_number": "626-281-3799",
"fax_number": "626-281-0711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3039 W VALLEY BLVD",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918031822",
"telephone_number": "626-281-3799",
"fax_number": "626-281-0711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDUGO PLAZA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2025-09-19",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-281-3799"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "CA",
"license": "PHY49003",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2113472",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VERDUGO PLAZA PHARMACY ALHAMBRA",
"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 Sep 19, 2025; 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.