Organization Active NPI

Maluk Enterprising Corporation

Doing business as Alex Pharmacy

  • Community/Retail Pharmacy
  • San Gabriel, CA
National Provider Identifier
1689925588
Registry record updated Nov 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 50971 Issued in CA
Legal business name
MALUK ENTERPRISING CORPORATION
Doing business as
Alex Pharmacy
Practice address
123 E Valley Blvd
#105
San Gabriel, CA 91776-3599
Phone
(626) 571-2290
Fax
(626) 571-2291
NPI assigned
Oct 2, 2012
Last updated
Nov 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2012

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

Authorized official

Name
Mr. Hungtin Luk, RPH
Title
President/Pic
Phone
(626) 571-2290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 50971 CA
Community/Retail Pharmacy 3336C0003X PHY 50971 CA Primary

Addresses

Primary practice location

123 E Valley Blvd
#105
San Gabriel, CA 91776-3599

Mailing address

123 E Valley Blvd
#105
San Gabriel, CA 91776-3599
Phone (626) 571-2290

Other identifiers 2

IdentifierTypeStateIssuer
56-45657OtherCANCPDP NUMBER
PHY 50971OtherCACALIFORNIA STATE BOARD OF PHARMACY

Other names 1

  • ALEX PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alex Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

123 E Valley Blvd
Ste 105
San Gabriel, CA 91776
Phone (626) 288-8845

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353196800000",
    "number": "1689925588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E VALLEY BLVD",
            "address_2": "#105",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763599",
            "telephone_number": "626-571-2290",
            "fax_number": "626-571-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E VALLEY BLVD",
            "address_2": "#105",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763599",
            "telephone_number": "626-571-2290",
            "fax_number": "626-571-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALUK ENTERPRISING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-11-18",
        "status": "A",
        "authorized_official_last_name": "LUK",
        "authorized_official_first_name": "HUNGTIN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "626-571-2290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 50971",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "56-45657",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHY 50971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALEX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.