La Baraka 1188, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

LA BARAKA 1188, INC

Doing business as

Six 55 Pharmacy

Practice address

655 W Avenue Q Ste E
Palmdale, CA 93551-3894

Phone

(661) 526-7655

Fax

(661) 526-7657

NPI assigned

Mar 19, 2020

Organization subpart

No

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

Authorized official

Name

Miss Audrey Abergel

Title

Owner

Phone

(661) 993-8726

Specialties & licenses 1

Addresses

Other names 1

• Six 55 Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1912533159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W AVENUE Q STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513894",
            "telephone_number": "661-526-7655",
            "fax_number": "661-526-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W AVENUE Q STE E",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513894",
            "telephone_number": "661-526-7655",
            "fax_number": "661-526-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BARAKA 1188, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "ABERGEL",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-993-8726",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Six 55 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Six 55 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asako Kudo-Markert, M.S.
• Seon Brian Kum, M.D.
• Kain Kumar, M.D., PHD
• Nalinkant Kurani
• L.H. Newman M.D. a Professional Corporation
• La DME Medical
• La Laser Center PC, a Professional Medical Corporation (Advanced Dermatology & Skin Cancer)
• Tuan Anh La, DDS
• Veronica Labra Rodriguez
• Reynaldo Banton Lacson Jr.

• Pharmacy in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.