Botica El Monte

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY43221 Issued in CA

Legal business name

BOTICA EL MONTE

Practice address

10808 Ramona Blvd
El Monte, CA 91731-2628

Phone

(626) 579-6277

Fax

(626) 579-6739

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

Frank Onggosuwarno

Title

Owner

Phone

(626) 579-6277

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Ijeoma H Obinwanne

  • Pharmacist
  • El Monte, CA
  • NPI 1861070716
  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": "1202428800000",
    "number": "1962413542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 RAMONA BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 RAMONA BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312628",
            "telephone_number": "626-579-6277",
            "fax_number": "626-579-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTICA EL MONTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "ONGGOSUWARNO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-579-6277"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0537386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0537386",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA432210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erick M Borgen II
• Mary Charlene Borja, RNP
• Jacob Borrero
• Roza Boshyan, RN
• Paul L Boswell
• Alexandra Zanabria Bowman, FNP
• Eric Bracamonte
• Latrece Bradley
• Lissette Brambila
• Gerardo Brana

• Community/Retail Pharmacy in El Monte, CA
• Providers in El Monte, 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 Feb 8, 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.