K and S Owl Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY45091 Issued in CA

Legal business name

K AND S OWL INC

Doing business as

Owl Homecare Pharmacy

Practice address

13851 Garvey Ave
Unit a
Baldwin Park, CA 91706-4913

Phone

(626) 851-9199

Fax

(626) 851-8053

NPI assigned

Jun 12, 2006

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maher Aka Peter Kaldas, RPH

Title

Ceo

Phone

(626) 851-8199

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• OWL HOMECARE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enas Hanna, RPH

  • Pharmacist
  • Baldwin Park, CA
  • NPI 1326321621
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1699717694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 GARVEY AVE",
            "address_2": "UNIT A",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064913",
            "telephone_number": "626-851-9199",
            "fax_number": "626-851-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 GARVEY AVE",
            "address_2": "UNIT A",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917064913",
            "telephone_number": "626-851-9199",
            "fax_number": "626-851-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND S OWL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "KALDAS",
        "authorized_official_first_name": "MAHER AKA PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-851-8199",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY45091",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699717694",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1990639",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OWL HOMECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JPL LLC
• Jose Luis Juarez
• Robert Juarez Jr., PHYSICAL THERAPIST
• Gregory A. Jung, MD
• Jyh C Chang MD Professional Corporation (Pacifica Sur Medical Group)
• Emily Man-Yee Kai, PHARM.D.
• Kaiser Foundation Health Plan Inc (Kaiser Permanente Pharmacy 552)
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospital - Baldwin Park
• Kaiser Foundation Hospitals

• Long Term Care Pharmacy in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.