Active NPI
Chia-Yie Victor Chang
Doing business as Crown Drugs
- Community/Retail Pharmacy
- Gardena, CA
National Provider Identifier
1710998398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY42198
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992613 | Other | PK | |
| PHA421980 | Medicaid | CA |
Other names 1
- CROWN DRUGS
National Provider Directory
National Provider DirectoryNPI 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.