Cal Oaks Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CAL OAKS PHARMACY, INC

Doing business as

Cal Oaks III HM Pharmacy at San Marino

Practice address

2010 Huntington Dr
Suite a
San Marino, CA 91108-2022

Phone

(626) 795-5956

Fax

(626) 795-4998

NPI assigned

Sep 25, 2012

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Minah Kim, PHARM. D.NPI 1073744264

Title

Ceo

Phone

(626) 795-5956

Specialties & licenses 1

Addresses

Other names 1

• CAL OAKS III HM PHARMACY AT SAN MARINO Doing business as

Locations

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.

• Minah Kim, PHARM. D.

  • Pharmacist
  • Pasadena, CA
  • NPI 1073744264
  Authorized official Same address or phone

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1821349267",
    "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": "2010 HUNTINGTON DR",
            "address_2": "SUITE A",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082022",
            "telephone_number": "626-795-5956",
            "fax_number": "626-795-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL OAKS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAL OAKS III HM PHARMACY AT SAN MARINO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in San Marino, CA
• Providers in San Marino, 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 Sep 25, 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.