Active NPI
Big a Drugstore
- Community/Retail Pharmacy
- South Gate, CA
National Provider Identifier
1982793535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BIG A DRUGSTORE
- Practice address
- 12030 Garfield Ave
South Gate, CA 90280-7823 - Phone
- (562) 633-2026
- Fax
- (323) 633-7319
- NPI assigned
- Oct 12, 2006
- Last updated
- Sep 11, 2025
- 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
- Edward Dallal, RPH
- Title
- President
- Phone
- (562) 633-9578
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY43388 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
12030 Garfield Ave
South Gate, CA 90280-7823
Mailing address
PO Box 31001
Pasadena, CA 91110-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA433880 | Medicaid | CA | |
| 0566882 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Big a Drug Stores Inc
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Long Beach, CA
- NPI 1174612725
-
dba Drug Emporium
- Community/Retail Pharmacy
- North Hollywood, CA
- NPI 1245329895
-
dba Drug Emporium
- Community/Retail Pharmacy
- Fountain Valley, CA
- NPI 1336238989
Locations
12030 Garfield Ave
South Gate, CA 90280
Phone (562) 633-2026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1982793535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001",
"city": "PASADENA",
"state": "CA",
"postal_code": "911100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12030 GARFIELD AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902807823",
"telephone_number": "562-633-2026",
"fax_number": "323-633-7319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG A DRUGSTORE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "DALLAL",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-633-9578",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY43388",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA433880",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0566882",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.