Simons Discount Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49812 Issued in CA

Legal business name

SIMONS DISCOUNT PHARMACY INC

Doing business as

Simons Discount Pharmacy II

Practice address

111 E Carson St
Ste B
Carson, CA 90745-2731

Phone

(310) 518-0020

Fax

(310) 518-0025

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Mary Ibrahim, RPH

Title

Owner,Pic,Ao

Phone

(310) 518-0020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Simons Discount Pharmacy II Doing business as

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1750529038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CARSON ST",
            "address_2": "STE B",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452731",
            "telephone_number": "310-518-0020",
            "fax_number": "310-518-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CARSON ST",
            "address_2": "STE B",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452731",
            "telephone_number": "310-518-0020",
            "fax_number": "310-518-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONS DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "310-518-0020",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simons Discount Pharmacy II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Sieja
• Krixie Vivo Silangcruz, MD, MBA
• Wendy Silva
• Wendy Silva, MD
• Jung Hyeb Sim, D.M.D
• Arya Sinai
• Ronald Siregar, MD
• Karlo Nicole Angeles Sison, RPH
• Lauren Sitzmann, MS, RDN
• Skintegrity Wound Care

• Community/Retail Pharmacy in Carson, CA
• Providers in Carson, 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 Aug 18, 2015; 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.