Active NPI
Alamo Pharmacy Inc
- Community/Retail Pharmacy
- South Gate, CA
National Provider Identifier
1720470271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 54527
- Legal business name
- ALAMO PHARMACY INC
- Practice address
- 4476 Tweedy Blvd
South Gate, CA 90280-6359 - Phone
- (323) 249-0360
- NPI assigned
- Feb 20, 2015
- 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
- Wassim Armanious
- Title
- Owner
- Phone
- (323) 249-0360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY 54527 | CA | Primary |
Addresses
Primary practice location
4476 Tweedy Blvd
South Gate, CA 90280-6359
Mailing address
4476 Tweedy Blvd
South Gate, CA 90280-6359
Phone (323) 249-0360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5654276 | Other | NCPDP |
Other names 1
- TMC#4
National Provider Directory
National Provider Directory- Tax ID family
- Alamo Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Simi Valley, CA
- NPI 1427318344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487721600000",
"number": "1720470271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4476 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806359",
"telephone_number": "323-249-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4476 TWEEDY BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806359",
"telephone_number": "323-249-0360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAMO PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-20",
"last_updated": "2017-02-22",
"status": "A",
"authorized_official_last_name": "ARMANIOUS",
"authorized_official_first_name": "WASSIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-249-0360"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY 54527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5654276",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TMC#4",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.