Super Market Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHA36988 Issued in CA

Legal business name

SUPER MARKET PHARMACY

Practice address

5985 Florence Ave Ste G
Bell Gardens, CA 90201-6748

Phone

(323) 773-6538

Fax

(323) 773-0448

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Ivonne De la Rosa, RPH

Title

Owner

Phone

(323) 773-6538

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1952707671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 FLORENCE AVE STE G",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016748",
            "telephone_number": "323-773-6538",
            "fax_number": "323-773-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 FLORENCE AVE STE G",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902016748",
            "telephone_number": "323-773-6538",
            "fax_number": "323-773-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER MARKET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "DE LA ROSA",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-773-6538",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHA36988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Atlantic Medical Group
• Spiritt Family Services
• Brooke M Stamm
• Jovani Suarez
• Suk Hoon Yun,DDS,Inc. Bell Gardens Dental Group
• Tina Tao
• Greg Yegheya Tchakmakjian, PHD
• Kel Vin Tee
• Thein Kyaw MD Inc
• Thrifty Payless Inc

• Pharmacy in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.