Whittier Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WHITTIER PHARMACY INC

Practice address

12291 Washington Blvd
Ste 101
Whittier, CA 90606-2500

Phone

(562) 945-4166

Fax

(562) 696-8578

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Minkyung KimNPI 1902126642

Title

Ceo

Phone

(562) 945-4166

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WHITTIER INTERCOMMUNITY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Tax ID family

Moon H Nam2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Whittier Pharmacy Inc

  • Long Term Care Pharmacy
  • Whittier, CA
  • NPI 1194405035
  NPD tax ID

Practitioners 3

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

• Minkyung Kim

  • Pharmacist
  • Twentynine Palms, CA
  • NPI 1902126642
  NPD Authorized official
• Jungyeun Kim, PHARMD

  • Pharmacist
  • Whittier, CA
  • NPI 1013515022
  NPD (past)
• Moon Hyun Nam, PHARM. D.

  • Pharmacist
  • Whittier, CA
  • NPI 1730391566
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1720180847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "address_2": "STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-945-4166",
            "fax_number": "562-696-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD",
            "address_2": "STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062500",
            "telephone_number": "562-945-4166",
            "fax_number": "562-696-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTIER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINKYUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-945-4166"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47408",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2000302",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5654660001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITTIER INTERCOMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WHITTIER INTERCOMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whittier Outpatient Surgery Center
• Whittier Outpatient Surgery Center Inc
• Whittier Pathology Medical Group
• Whittier Pediatric Group
• Whittier Pharmacy Inc
• Whittier Plaza Pharmacy, Inc.
• Whittier Pregnancy Care Clinic
• Whittier Pregnancy Care Clinic
• Whittier Presbyterian Hospital
• Whittier Primary Care Physicians Medical Group Inc

• Community/Retail Pharmacy in Whittier, CA
• Providers in Whittier, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.