Wiltoh Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WILTOH PHARMACY

Practice address

3511 W Olympic Blvd
102
Los Angeles, CA 90019-3563

Phone

(323) 731-0600

Fax

(323) 731-9787

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jung S KimNPI 1649223454

Title

Owner

Phone

(323) 731-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jung S Kim

  • Pharmacist
  • Los Angeles, CA
  • NPI 1649223454
  NPD (past) Authorized official
• Mee Kyoung Kim

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Los Angeles, CA
  • NPI 1205347150
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770536252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W OLYMPIC BLVD",
            "address_2": "102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193563",
            "telephone_number": "323-731-0600",
            "fax_number": "323-731-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W OLYMPIC BLVD",
            "address_2": "102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193563",
            "telephone_number": "323-731-0600",
            "fax_number": "323-731-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILTOH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-731-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA447840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Wilson, MD
• Zion Solomon Congrave Wilson
• Zoey Trueblood Wilson, MS.
• Lauren Marie Wilstein
• Wiltern Clinic Psychological Services, Inc.
• Wilton Care Pharmacy
• Wilton Haven Corporation
• Richard Jack Wilton, MD
• Rebekah Wiltz, MSW
• Aye-Aye Win

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 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.