Organization Active NPI

D & L Pharmacy Inc

  • Community/Retail Pharmacy
  • Rosemead, CA
National Provider Identifier
1861864720
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53798 Issued in CA
Legal business name
D & L PHARMACY INC
Practice address
2630 San Gabriel Blvd Ste 106
Rosemead, CA 91770-5204
Phone
(626) 572-8255
Fax
(626) 572-8252
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Leslie Tieu, PHARMDNPI 1407221609
Title
President
Phone
(626) 572-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 53798 CA Primary

Addresses

Primary practice location

2630 San Gabriel Blvd Ste 106
Rosemead, CA 91770-5204

Mailing address

2630 San Gabriel Blvd Ste 106
Rosemead, CA 91770-5204
Phone (626) 572-8255

Other identifiers 1

IdentifierTypeStateIssuer
2154866OtherPK

Other names 1

  • LA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160525001688 CA DME Supplier - Pharmacy 6507155967 Practice locations: Rosemead, CA
O20190603001806 CA Part B Supplier - Pharmacy 6507155967 Practice locations: Rosemead, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
D&L Pharmacy Inc2630 San Gabriel Blvd, Rosemead, CA 91770-5204(626) 572-8255 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory

Locations

2630 San Gabriel Blvd
Ste 106
Rosemead, CA 91770
Phone (626) 571-7455

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1861864720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD STE 106",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-572-8255",
            "fax_number": "626-572-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 SAN GABRIEL BLVD STE 106",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917705204",
            "telephone_number": "626-572-8255",
            "fax_number": "626-572-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & L PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "TIEU",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-572-8255",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.