Organization Active NPI

Toms Pharmacy

  • Pharmacy
  • West Covina, CA
National Provider Identifier
1750454815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
TOMS PHARMACY
Practice address
2686 E Garvey Ave South
West Covina, CA 91791
Phone
(626) 331-0721
Fax
(626) 967-2321
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jonas Kim, PHARMD
Title
Pharmicist in Charge
Phone
(626) 331-0721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2686 E Garvey Ave South
West Covina, CA 91791

Mailing address

2686 E Garvey Ave South
West Covina, CA 91791
Phone (626) 331-0721

Other identifiers 1

IdentifierTypeStateIssuer
PHY440010MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Exclusive Prescription and Wellness Phcy2 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.

Locations

2686 E Garvey Ave S
West Covina, CA 91791
Phone (626) 331-0721

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750454815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 E GARVEY AVE SOUTH",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-331-0721",
            "fax_number": "626-967-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 E GARVEY AVE SOUTH",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91791",
            "telephone_number": "626-331-0721",
            "fax_number": "626-967-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONAS",
        "authorized_official_title_or_position": "PHARMICIST IN CHARGE",
        "authorized_official_telephone_number": "626-331-0721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY440010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.