Active NPI
Journey Marie Villacorte Cordero, PHARMD, RPH
- Pharmacist
- Rosemead, CA
National Provider Identifier
1710710306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89842
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 89842 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TT Healthcare Inc | Current | Accepting new patients | |
| TT Healthcare Inc | Past | 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.
-
- Long Term Care Pharmacy
- Rosemead, CA
- NPI 1720948193
-
- Pharmacy
- Rosemead, CA
- NPI 1346796422
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.