Organization Active NPI

Big 1 Inc

  • Community/Retail Pharmacy
  • San Gabriel, CA
National Provider Identifier
1992798698
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43845 Issued in CA
Legal business name
BIG 1 INC
Practice address
415 W Valley Blvd
San Gabriel, CA 91776-3728
Phone
(626) 281-2186
Fax
(626) 281-3583
NPI assigned
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Steven Chin
Title
Officer
Phone
(626) 281-2186

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY43845 CA Primary
Compounding Pharmacy 3336C0004X
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

415 W Valley Blvd
San Gabriel, CA 91776-3728

Mailing address

415 W Valley Blvd
San Gabriel, CA 91776-3728
Phone (626) 281-2186

Other identifiers 2

IdentifierTypeStateIssuer
PHY438450MedicaidCA
1991792OtherPK

Other names 1

  • BIG 1 PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930093051 CA DME Supplier - Pharmacy 1355461799 Practice locations: San Gabriel, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Big 1 Pharmacy415 W Valley Blvd, San Gabriel, CA 91776-3728(626) 281-2186 Epoetin|Nebulizer Drugs Accepts assignmentParticipating since Jan 1, 1994

National Provider Directory

National Provider Directory

Locations

415 W Valley Blvd
San Gabriel, CA 91776
Phone (626) 281-2186

415 W Valley Blvd
Ste B
San Gabriel, CA 91776
Phone (626) 281-2186

415 W Valley Blvd
#B
San Gabriel, CA 91776
Phone (626) 281-2186

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1992798698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763728",
            "telephone_number": "626-281-2186",
            "fax_number": "626-281-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W VALLEY BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763728",
            "telephone_number": "626-281-2186",
            "fax_number": "626-281-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "626-281-2186"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43845",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY438450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG 1 PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.