Active NPI
Garrick Shum
- Pharmacist
- Brea, CA
National Provider Identifier
1801326384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH55569
- Practice address
- 385 W Central Ave Ste E
Brea, CA 92821-3000 - Phone
- (714) 529-2113
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- 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 | RPH55569 | CA | Primary |
Addresses
Primary practice location
385 W Central Ave Ste E
Brea, CA 92821-3000
Mailing address
385 W Central Ave Ste E
Brea, CA 92821-3000
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 |
|---|---|---|---|
| RPH55569 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrick Shum | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brea, CA
- NPI 1609924604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1801326384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 W CENTRAL AVE STE E",
"city": "BREA",
"state": "CA",
"postal_code": "928213000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 W CENTRAL AVE STE E",
"city": "BREA",
"state": "CA",
"postal_code": "928213000",
"telephone_number": "714-529-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUM",
"first_name": "GARRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH55569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.