CMC Enterprise Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55666 Issued in CA

Legal business name

CMC ENTERPRISE INC

Practice address

1634 W Sunset Blvd
Los Angeles, CA 90026-4227

Phone

(213) 341-1411

Fax

(213) 395-0711

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Craig K Yoo, PHARM.D.

Title

Pharmacist/Ceo

Phone

(213) 341-1411

Specialties & licenses 1

Addresses

Other names 1

• Echo Park Pharmacy Doing business as

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1972013480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 ROWENA AVE UNIT 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392191",
            "telephone_number": "213-369-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264227",
            "telephone_number": "213-341-1411",
            "fax_number": "213-395-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST/CEO",
        "authorized_official_telephone_number": "213-341-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echo Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Cloutier
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• David E Clower
• CMC Enterprise Inc
• CMC Enterprise, Inc.
• CMC Pulmonary Lab
• CMC Pulmonary Physiology Laboratory
• Cmcla Pathology Medical Group
• CMMP Clinica de Ojos

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 22, 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.