Active NPI
Peggy Shih
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1780205401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56310
- Practice address
- 3782 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-1703 - Phone
- (322) 421-2215
- NPI assigned
- May 4, 2020
- Last updated
- May 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 56310 | CA | Primary |
Addresses
Primary practice location
3782 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-1703
Mailing address
900 Ridgecrest St
Monterey Park, CA 91754-4623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56310 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1780205401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RIDGECREST ST",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917544623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3782 W MARTIN LUTHER KING JR BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900081703",
"telephone_number": "322-421-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIH",
"first_name": "PEGGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.