Beach Medical RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46073 Issued in CA

Legal business name

BEACH MEDICAL RX INC

Practice address

5230 Beach Boulevard
Buena Park, CA 90621-1230

Phone

(714) 739-8811

Fax

(714) 739-8688

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Yon-Kyong PaeNPI 1336396084

Title

President

Phone

(714) 739-8811

Specialties & licenses 1

Addresses

Other names 1

• BEACH MEDICAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• Yon Kyong Pae

  • Pharmacist
  • La Habra, CA
  • NPI 1336396084
  NPD Authorized official
• Jaeeun Yoon

  • Pharmacist
  • Buena Park, CA
  • NPI 1154028439
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1902944648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 BEACH BOULEVARD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211230",
            "telephone_number": "714-739-8811",
            "fax_number": "714-739-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 BEACH BOULEVARD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211230",
            "telephone_number": "714-739-8811",
            "fax_number": "714-739-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "PAE",
        "authorized_official_first_name": "YON-KYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-739-8811",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACH MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Danielle Baranwal, O.D.
• Perfecto G Batalla Jr., PT
• Allan Bautista, RPT
• Beach Adhc, Inc.
• Beach Foot and Ankle Center Inc
• Aram Bebekyan
• Nicole Beeks
• Begin Again Behavioral Health Services
• Bellevia LLC
• Naichez Josiah Belmont

• Community/Retail Pharmacy in Buena Park, CA
• Providers in Buena 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 Apr 22, 2010; 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.