Active NPI
I & J Pharmacy LLC
- Community/Retail Pharmacy
- Cerritos, CA
National Provider Identifier
1871986505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- I & J PHARMACY LLC
- Practice address
- 11855 E South St
Cerritos, CA 90703-6825 - Phone
- (562) 444-5545
- Fax
- (562) 444-5560
- NPI assigned
- Mar 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Park, PHARM.D.
- Title
- Ceo
- Phone
- (562) 547-1799
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
11855 E South St
Cerritos, CA 90703-6825
Mailing address
11855 E South St
Cerritos, CA 90703-6825
Phone (562) 444-5545
Other names 1
- BetteRx Pharmacy
National Provider Directory
National Provider DirectoryLocations
11855 South St
Cerritos, CA 90703
Phone (562) 444-5545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486512000000",
"number": "1871986505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11855 E SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036825",
"telephone_number": "562-444-5545",
"fax_number": "562-444-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11855 E SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036825",
"telephone_number": "562-444-5545",
"fax_number": "562-444-5560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I & J PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-05",
"last_updated": "2017-02-08",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-547-1799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BetteRx Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.