Active NPI
Keith Fujinaga, PHARMD
- Pharmacist
- Monterey Park, CA
National Provider Identifier
1962887414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69965
- Practice address
- 601 Potrero Grande Dr
Monterey Park, CA 91755-7430 - Phone
- (323) 889-6638
- Fax
- (323) 889-6254
- NPI assigned
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69965 | CA | Primary |
| Pharmacist | 183500000X | 15764 | NV |
Addresses
Primary practice location
601 Potrero Grande Dr
Monterey Park, CA 91755-7430
Mailing address
608 Beverly Drive
Arcadia, CA 91006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1962887414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 BEVERLY DRIVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "91006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 POTRERO GRANDE DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917557430",
"telephone_number": "323-889-6638",
"fax_number": "323-889-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJINAGA",
"first_name": "KEITH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69965",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15764",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.