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MID WILSHIRE PHARMACY
NPI 1013908458
Pharmacy in Los Angeles, CA

Active since November 03, 2005
6317 WILSHIRE BLVD, LOS ANGELES, CA 90048(323) 653-6080(323) 653-2503 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid Wilshire Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID WILSHIRE PHARMACY (NPI 1013908458) is a healthcare organization registered as a pharmacy in Los Angeles, California and active in the NPI registry since November 2005. The organization lists John Gong, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1013908458
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMID WILSHIRE PHARMACY
Location Address6317 WILSHIRE BLVDLos Angeles, CA 90048-5602
Mailing Address6317 Wilshire BlvdLos Angeles, CA 90048-5602 · (323) 653-6080 · Fax (323) 653-2503
Phone(323) 653-6080
Fax(323) 653-2503
Organization SubpartNo
Authorized OfficialJohn GongPharmacist · (323) 653-6080
Enumeration DateNovember 3, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013908458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · PHY36001
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
6317 WILSHIRE BLVD, Los Angeles, CA 90048
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Other Identifiers 2

MedicaidPHA360010CA
Other0599273Nabp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Wilshire Pharmacy's NPI number?

The NPI number for Mid Wilshire Pharmacy is 1013908458. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is Mid Wilshire Pharmacy located?

Mid Wilshire Pharmacy is located at 6317 Wilshire Blvd, Los Angeles, CA 90048. The listed phone number is (323) 653-6080.

What is Mid Wilshire Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Mid Wilshire Pharmacy was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.