Loma Linda Health Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LOMA LINDA HEALTH PHARMACY

Doing business as

LOMA LINDA HEALTH PHARMACY

Practice address

11382 Mt. View Ave
Loma Linda, CA 92354

Phone

(909) 796-3780

Fax

(909) 796-5783

NPI assigned

Aug 20, 2006

Organization subpart

Yes

Parent organization

LOMA LINDA HEALTH PHARMACYAs reported in NPPES

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

Authorized official

Name

Sue Park, RPHNPI 1528145919

Title

Owner, Pic

Phone

(909) 796-3780

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LOMA LINDA HEALTH PHARMACY Doing business as

Part of

Loma Linda Health Pharmacy

Locations

Practitioners 1

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

• Sue Park

  • Pharmacist
  • Loma Linda, CA
  • NPI 1528145919
  NPD Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1699880625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11382 MT. VIEW AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-796-3780",
            "fax_number": "909-796-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11382 MT. VIEW AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-796-3780",
            "fax_number": "909-796-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA HEALTH PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOMA LINDA HEALTH PHARMACY",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "909-796-3780",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA394770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOMA LINDA HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOMA LINDA HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Logan
• Michelle H.L. Loh, M.D.
• Maria Belen Lohr, M.D.
• Hannah Caitlin Lokos, MD
• Loma Linda Children'S Dental Group
• Loma Linda High Field Open MRI and Diagnostic Center Inc
• Loma Linda Inland Consortium for Healthcare Education
• Loma Linda Obstetrics & Gynecology
• Loma Linda Optometry, Inc.
• Loma Linda Pharmacy Inc

• Long Term Care Pharmacy in Loma Linda, CA
• Providers in Loma Linda, 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 May 11, 2023; 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.