PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
NPI 1508972456
Pharmacy - Institutional Pharmacy in San Pedro, CA

Active since August 22, 2006
1300 W 7TH ST, SAN PEDRO, CA 90732(310) 832-3311(310) 514-5462 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2025, Oct 20, 2021 (2 updates tracked since 2021).

About Providence Health System-southern California NPPES

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

PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA (NPI 1508972456), doing business as Providence Little Company Of Mary Medical Center San Pedro Pharmacy, is a healthcare organization registered as an institutional pharmacy in San Pedro, California and active in the NPI registry since August 2006. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1508972456
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NamePROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
Location Address1300 W 7TH STSan Pedro, CA 90732-3505
Mailing Address1300 W 7th StSan Pedro, CA 90732-3505 · (310) 514-5267 · Fax (310) 514-5462
Fax(310) 514-5462
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateAugust 22, 2006
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1508972456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License Licensed in CA · HSP47226
Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1300 W 7TH ST, San Pedro, CA 90732

Other Names 1

Doing Business AsProvidence Little Company Of Mary Medical Center San Pedro Pharmacy

Other Identifiers 2

Other0544519Ncpdp Provider Identification Number
MedicaidPHB472260CA

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1300 W 7TH ST
SAN PEDRO, CA 90732
Registered Nurse (Psychiatric/Mental Health)
1300 W 7TH ST
SAN PEDRO, CA 90732
Registered Nurse (Community Health)
1300 W 7TH ST
SAN PEDRO, CA 90732
Radiology (Diagnostic Radiology)
1300 W 7TH ST
SAN PEDRO, CA 90732
Emergency Medicine
1300 W 7TH ST
SAN PEDRO, CA 90732
Social Worker
1300 W 7TH ST
SAN PEDRO, CA 90732
Speech-Language Pathologist
1300 W 7TH ST
SAN PEDRO, CA 90732
Occupational Therapist
1300 W 7TH ST
SAN PEDRO, CA 90732

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 Providence Health System-Southern California's NPI number?

The NPI number for Providence Health System-Southern California is 1508972456. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Providence Little Company Of Mary Medical Center San Pedro Pharmacy.

Where is Providence Health System-Southern California located?

Providence Health System-Southern California is located at 1300 W 7th St, San Pedro, CA 90732. The listed phone number is (310) 832-3311.

What is Providence Health System-Southern California's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

What insurance does Providence Health System-Southern California accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 30 other insurers list Providence Health System-Southern California 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 Providence Health System-Southern California was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.