Dianapharm LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DIANAPHARM LLC

Practice address

3545 Wilshire Blvd
Ste 200
Los Angeles, CA 90010-2354

Phone

(213) 385-2135

Fax

(213) 385-2138

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Hyo Lee

Title

Owner

Phone

(213) 385-2135

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ARDMORE PHARMACY Doing business as

Practitioners 2

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

• Nayoung Kim

  • Pharmacy Technician
  • Los Angeles, CA
  • NPI 1740506815
  NPD (past)
• Christina Bohyoung Park

  • Pharmacist
  • Los Angeles, CA
  • NPI 1770775694
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1881605384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BLVD",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 WILSHIRE BLVD",
            "address_2": "STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102354",
            "telephone_number": "213-385-2135",
            "fax_number": "213-385-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANAPHARM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-385-2135"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY46838",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5613915",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA468380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARDMORE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J Diamond, PHD
• Stephen A. Diamond, PH.D.
• Diana E Zschaschel, DDS a Professional Dental Corp
• Diana S. Guth
• Diana Siew Marriage and Family Therapy Inc
• Saeed Dianat, M.D.
• Diane L. Johnson, M.D., Inc.
• Danilo Octoman Diangkinay Jr., DDS
• Dianne Bedford Nurse Practitioner a Professional Nursing Corporation
• Arusyak Diaryan

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 13, 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.