Organization Active NPI

Verdugo Plaza Pharmacy Inc

  • Pharmacy
  • Alhambra, CA
National Provider Identifier
1689848269
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Lawrence WongNPI 1689618837
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2113472OtherPK

Other names 1

  • VERDUGO PLAZA PHARMACY ALHAMBRA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Verdugo Plaza Pharmacy Inc3039 W Valley Blvd, Alhambra, CA 91803-1822(626) 281-3799 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

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.

Verify at the official NPI Registry.