Organization Active NPI

Ekh Inc

Doing business as St. Paul's Pharmacy

  • Pharmacy
  • South Gate, CA
National Provider Identifier
1821072596
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY44785 Issued in CA
Legal business name
EKH INC
Doing business as
St. Paul's Pharmacy
Practice address
3819 Tweedy Blvd
South Gate, CA 90280-6101
Phone
(323) 567-4803
Fax
(323) 357-1920
NPI assigned
Dec 6, 2005
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Mrs. Khanh M Nguyen
Title
Manager
Phone
(323) 567-4803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY44785 CA Primary

Addresses

Primary practice location

3819 Tweedy Blvd
South Gate, CA 90280-6101

Mailing address

3819 Tweedy Blvd
South Gate, CA 90280-6101
Phone (323) 567-4803

Other identifiers 1

IdentifierTypeStateIssuer
1821072596MedicaidCA

Other names 1

  • ST. PAUL'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3819 Tweedy Blvd
South Gate, CA 90280
Phone (323) 567-4803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1821072596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806101",
            "telephone_number": "323-567-4803",
            "fax_number": "323-357-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 TWEEDY BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806101",
            "telephone_number": "323-567-4803",
            "fax_number": "323-357-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-567-4803",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY44785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821072596",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. PAUL'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.