NPIMap

Organization Active NPI

York Professional Pharmacy

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1871645507
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
YORK PROFESSIONAL PHARMACY
Practice address
5821 York Blvd
Los Angeles, CA 90042-2634
Phone
(323) 254-6839
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mr. Yuhonne Thom, PHARMACIST
Title
Owner
Phone
(323) 254-6839

Specialties & licenses 1

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

Addresses

Primary practice location

5821 York Blvd
Los Angeles, CA 90042-2634

Mailing address

5821 York Blvd
Los Angeles, CA 90042-2634
Phone (323) 254-6839

Other identifiers 1

IdentifierTypeStateIssuer
PHA214030MedicaidCA

National Provider Directory

National Provider Directory

Locations

5821 York Blvd
Los Angeles, CA 90042
Phone (323) 254-6839

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1871645507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422634",
            "telephone_number": "323-254-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422634",
            "telephone_number": "323-254-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "THOM",
        "authorized_official_first_name": "YUHONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-254-6839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA214030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.