PRIME RX SAN GABRIEL, INC.
NPI 1114532231
Pharmacy - Community/Retail Pharmacy in San Gabriel, CA

Q: What is Prime Rx San Gabriel, Inc.'s NPI number?

The NPI number for Prime Rx San Gabriel, Inc. is 1114532231. It was assigned to this organization in the NPPES registry on September 15, 2020. The provider is doing business as Prime Rx San Gabriel.

Q: What is Prime Rx San Gabriel, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 15, 2020

533 W LAS TUNAS DR # 102, SAN GABRIEL, CA 91776(626) 656-6939(626) 656-6593 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Nov 4, 2022, Dec 8, 2021 and 1 more (4 updates tracked since 2020).

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About Prime Rx San Gabriel, Inc. NPPES

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

PRIME RX SAN GABRIEL, INC. (NPI 1114532231), doing business as Prime Rx San Gabriel, is a healthcare organization registered as a community/retail pharmacy in San Gabriel, California and active in the NPI registry since September 2020. The organization lists Donald Han, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114532231

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePRIME RX SAN GABRIEL, INC.

Location Address533 W LAS TUNAS DR # 102San Gabriel, CA 91776-1133

Mailing Address533 W Las Tunas Dr # 102San Gabriel, CA 91776-1133 · (213) 234-8319

Phone(626) 656-6939

Fax(626) 656-6593

Organization SubpartNo

Authorized OfficialDonald HanCeo · (626) 656-6939

Enumeration DateSeptember 15, 2020

Last NPPES UpdateJune 17, 20254 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1114532231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

533 W LAS TUNAS DR # 102, San Gabriel, CA 91776

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Other Names 1

Doing Business AsPrime Rx San Gabriel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 Prime Rx San Gabriel, Inc.'s NPI number?

The NPI number for Prime Rx San Gabriel, Inc. is 1114532231. It was assigned to this organization in the NPPES registry on September 15, 2020. The provider is doing business as Prime Rx San Gabriel.

Where is Prime Rx San Gabriel, Inc. located?

Prime Rx San Gabriel, Inc. is located at 533 W Las Tunas Dr # 102, San Gabriel, CA 91776. The listed phone number is (626) 656-6939.

What is Prime Rx San Gabriel, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Prime Rx San Gabriel, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Prime Rx San Gabriel, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Rx San Gabriel, Inc. was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.