La Buena Vida Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51158 Issued in CA

Legal business name

LA BUENA VIDA PHARMACY INC

Doing business as

LA BUENA VIDA PHARMACY

Practice address

51-335 Cesar Chavez St
Suite 116
Coachella, CA 92236-1547

Phone

(760) 398-8866

Fax

(760) 398-9966

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Simone Aoy Yee Yik, PHARM DNPI 1003029711

Title

President/Pic

Phone

(760) 398-8866

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LA BUENA VIDA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Simone Yik, PHARMD

  • Pharmacist
  • Coachella, CA
  • NPI 1003029711
  NPD Authorized official

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1770833386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-335 CESAR CHAVEZ ST",
            "address_2": "SUITE 116",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361547",
            "telephone_number": "760-398-8866",
            "fax_number": "760-398-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-335 CESAR CHAVEZ ST",
            "address_2": "SUITE 116",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361547",
            "telephone_number": "760-398-8866",
            "fax_number": "760-398-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BUENA VIDA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "YIK",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "AOY YEE",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "760-398-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "GY413A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "56-45518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA BUENA VIDA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LA BUENA VIDA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandy H Kim, DDS
• Faustino Ramon King
• Kavonna Faye Kirksey
• Olivia Kung
• La Buena Vida Pharmacy Inc
• Amindeep Lail, MD
• Hannah Laimer, D.O.
• Latino Commission on Alcohol and Drug Abuse Services
• Jennifer Le, RN, NP
• Tram Le, PHARM. D.

• Community/Retail Pharmacy in Coachella, CA
• Providers in Coachella, 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, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.