Organization Active NPI

Chia-Yie Victor Chang

Doing business as Crown Drugs

  • Community/Retail Pharmacy
  • Gardena, CA
National Provider Identifier
1710998398
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY42198 Issued in CA
Legal business name
CHIA-YIE VICTOR CHANG
Doing business as
Crown Drugs
Practice address
14133 S Vermont Ave
Gardena, CA 90247-2205
Phone
(310) 327-9450
Fax
(310) 327-1124
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Pei Pei Chang
Title
Owner
Phone
(310) 327-9450

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY42198 CA Primary

Addresses

Primary practice location

14133 S Vermont Ave
Gardena, CA 90247-2205

Mailing address

14133 S Vermont Ave
Gardena, CA 90247-2205
Phone (310) 327-9450

Other identifiers 2

IdentifierTypeStateIssuer
1992613OtherPK
PHA421980MedicaidCA

Other names 1

  • CROWN DRUGS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1710998398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14133 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472205",
            "telephone_number": "310-327-9450",
            "fax_number": "310-327-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14133 S VERMONT AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902472205",
            "telephone_number": "310-327-9450",
            "fax_number": "310-327-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIA-YIE VICTOR CHANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PEI PEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-327-9450"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1992613",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA421980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.