Active NPI
CVS
- Pharmacist
- El Monte, CA
National Provider Identifier
1962937235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74032
- Legal business name
- CVS
- Practice address
- 11940 Garvey Ave
El Monte, CA 91732-3514 - Phone
- (626) 350-1052
- NPI assigned
- Apr 25, 2017
- Last updated
- Apr 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Im
- Title
- Pharmacist
- Phone
- (714) 702-0059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74032 | CA | Primary |
Addresses
Primary practice location
11940 Garvey Ave
El Monte, CA 91732-3514
Mailing address
11940 Garvey Ave
El Monte, CA 91732-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467497362 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy 09578
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493078400000",
"number": "1962937235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11940 GARVEY AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917323514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11940 GARVEY AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917323514",
"telephone_number": "626-350-1052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A",
"authorized_official_last_name": "IM",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "714-702-0059"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467497362",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.