David Isami Igarashi

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY34984 Issued in CA

Legal business name

DAVID ISAMI IGARASHI

Doing business as

Baldwin Hills Pharmacy

Practice address

811 E 11TH St
Suite 201
Upland, CA 91786-4871

Phone

(909) 981-8818

Fax

(909) 608-1871

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

David Igarashi, RPH

Title

Owner

Phone

(909) 608-1832

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• BALDWIN HILLS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1760532071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "address_2": "SUITE 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "address_2": "SUITE 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864871",
            "telephone_number": "909-981-8818",
            "fax_number": "909-608-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ISAMI IGARASHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "IGARASHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-608-1832",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY34984",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0595744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0595744",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA349840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALDWIN HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy J Dauwalder, D.O.
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• Theresa Davis-Bates, FNP
• Constance Alice Davis, MFCC
• Dale L Davis, M.D.
• Josh-Shua Davis, BA

• Pharmacy in Upland, CA
• Providers in Upland, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.