La Pharmacie, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LA PHARMACIE, INC

Doing business as

Mercy Pharmacy San Dimas

Practice address

1152 Via Verde
San Dimas, CA 91773-4401

Phone

(909) 599-3444

Fax

(909) 599-6627

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Jean Ly, PHARM.D.

Title

President

Phone

(909) 599-3444

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mercy Pharmacy San Dimas Doing business as

Locations

Practitioners 2

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

• Jerome Mo, PHARMD.

  • Pharmacist
  • Los Angeles, CA
  • NPI 1578993952
  NPD (past)
• Richard Joseph Reggio, PHARM. D

  • Pharmacist
  • San Dimas, CA
  • NPI 1306880802
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1801893466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734401",
            "telephone_number": "909-599-3444",
            "fax_number": "909-599-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734401",
            "telephone_number": "909-599-3444",
            "fax_number": "909-599-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PHARMACIE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-599-3444",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY37115",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801893466",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA371150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Pharmacy San Dimas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Jessica Kubanis
• Jason Kubanis
• Patrick John Kurt, MD
• Maki Kusunaga, NP-C
• La Homecare Provider Inc
• Elvira Arlene Laguna
• Andy Lam, M.D.
• Julie Lam, O.D.
• Melissa Lamoureux, LMFT
• Lamppost Healthcare LLC

• Community/Retail Pharmacy in San Dimas, CA
• Providers in San Dimas, 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 Jul 16, 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.