NPIMap

Organization Active NPI

P & K Pharmacy, Inc

  • Pharmacist
  • Pasadena, CA
National Provider Identifier
1811248792
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH56164 Issued in CA
Legal business name
P & K PHARMACY, INC
Practice address
55 E California Blvd
Suite 103
Pasadena, CA 91105-3954
Phone
(626) 795-5956
Fax
(626) 795-4998
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Minah Kim, PHARM. D.
Title
Ceo
Phone
(626) 795-5956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RPH56164 CA Primary

Addresses

Primary practice location

55 E California Blvd
Suite 103
Pasadena, CA 91105-3954

Mailing address

55 E California Blvd
Suite 103
Pasadena, CA 91105-3954
Phone (626) 795-5956

Other names 1

  • Cal Oaks Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cal Oaks II HM Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1811248792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD",
            "address_2": "SUITE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053954",
            "telephone_number": "626-795-5956",
            "fax_number": "626-795-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD",
            "address_2": "SUITE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053954",
            "telephone_number": "626-795-5956",
            "fax_number": "626-795-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & K PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-795-5956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH56164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal Oaks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.