Five Angels Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY40916 Issued in CA

Legal business name

FIVE ANGELS CORP

Doing business as

St. John's Pharmacy

Practice address

3074 E Florence Ave
Huntington Park, CA 90255-5828

Phone

(323) 277-8388

Fax

(323) 277-8384

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bijan Goharnia

Title

President

Phone

(323) 277-8388

Specialties & licenses 1

Addresses

Other names 1

• ST. JOHN'S PHARMACY 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.

• David Dai Young Kim, RPH

  • Pharmacist
  • Huntington Park, CA
  • NPI 1942329057
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1841325685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5057",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902559057",
            "telephone_number": "323-277-8388",
            "fax_number": "323-277-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555828",
            "telephone_number": "323-277-8388",
            "fax_number": "323-277-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE ANGELS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "GOHARNIA",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-277-8388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY40916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JOHN'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Burnice Figueroa Flores, 106H00000X
• Maylin Figueroa
• Alisha Brianne Finch
• First Choice Physician Partners (De La Pena Eye Clinic, A Medical Group)
• Firstsoto Medical Group
• Luis Fernando Flores Rivera, DDS
• Sandra Nelly Flores Ugarte
• Alfredo Flores
• April M Flores
• Cinthia Flores

• Community/Retail Pharmacy in Huntington Park, CA
• Providers in Huntington Park, 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 1, 2008; 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.