Individual provider Active NPI

Journey Marie Villacorte Cordero, PHARMD, RPH

  • Pharmacist
  • Rosemead, CA
National Provider Identifier
1710710306
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
89842 Issued in CA
Practice address
8054 Garvey Ave Ste 101
Rosemead, CA 91770-2449
Phone
(626) 988-0106
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X 89842 CA
Pharmacist 183500000X 89842 CA Primary

Addresses

Primary practice location

8054 Garvey Ave Ste 101
Rosemead, CA 91770-2449

Mailing address

13617 Netto Ridge CT
La Mirada, CA 90638-6547
Phone (562) 631-4503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
89842CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
TT Healthcare Inc CurrentSince Nov 24, 2025 Accepting new patients
TT Healthcare Inc PastSince Aug 25, 2024 Accepting new patients

Locations

8054 Garvey Ave
Ste 101
Rosemead, CA 91770
Phone (626) 988-0106

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1710710306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13617 NETTO RIDGE CT",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386547",
            "telephone_number": "562-631-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8054 GARVEY AVE STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702449",
            "telephone_number": "626-988-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "JOURNEY MARIE",
        "middle_name": "VILLACORTE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "89842",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.