Organization Active NPI

Yanco Pharmacy Inc

  • Community/Retail Pharmacy
  • Monterey Park, CA
National Provider Identifier
1982615472
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY34856 Issued in CA
Legal business name
YANCO PHARMACY INC
Doing business as
YANCO
Practice address
806 S Atlantic Blvd
Ste D
Monterey Park, CA 91754-4714
Phone
(818) 282-2956
Fax
(626) 282-1661
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Tom Yang
Title
Owner
Phone
(626) 282-2956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY34856 CA Primary

Addresses

Primary practice location

806 S Atlantic Blvd
Ste D
Monterey Park, CA 91754-4714

Mailing address

806 S Atlantic Blvd
Ste D
Monterey Park, CA 91754-4714

Other identifiers 3

IdentifierTypeStateIssuer
0593120OtherOTHER ID NUMBER
0593120OtherOTHER ID NUMBER-COMMERCIAL NUMBER
PHY348560MedicaidCA

Other names 1

  • YANCO Doing business as

National Provider Directory

National Provider Directory

Locations

806 S Atlantic Blvd
Ste D
Monterey Park, CA 91754
Phone (818) 282-2956

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1982615472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S ATLANTIC BLVD",
            "address_2": "STE D",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S ATLANTIC BLVD",
            "address_2": "STE D",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544714",
            "telephone_number": "818-282-2956",
            "fax_number": "626-282-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANCO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-282-2956"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0593120",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0593120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY348560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YANCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 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.