1. Home
  2. Directory
  3. California
  4. Pasadena
  5. Pharmacy
  6. NPI Profile

CAL OAKS PHARMACY
NPI 1649293697
Pharmacy - Community/Retail Pharmacy in Pasadena, CA

Active since July 25, 2006
55 E CALIFORNIA BLVD, SUITE 103, PASADENA, CA 91105(626) 795-5956(626) 795-4998 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cal Oaks Pharmacy NPPES

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

CAL OAKS PHARMACY (NPI 1649293697) is a healthcare organization registered as a community/retail pharmacy in Pasadena, California and active in the NPI registry since July 2006. The organization lists Minah Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1649293697
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMINAH KIM
Location Address55 E CALIFORNIA BLVD, SUITE 103Pasadena, CA 91105-3954
Mailing Address55 E California Blvd, Suite 103Pasadena, CA 91105-3954 · (626) 795-5956 · Fax (626) 795-4998
Phone(626) 795-5956
Fax(626) 795-4998
Organization SubpartNo
Authorized OfficialMinah KimOwner · (626) 795-5956
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1649293697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY47497
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.
55 E CALIFORNIA BLVD, Pasadena, CA 91105
Open in Google Maps ↗

Other Names 1

Doing Business AsCal Oaks Pharmacy

Other Identifiers 1

Medicare NSC5745940001CA

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cal Oaks Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120224000622Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
642 services635 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
611 services611 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
81 services78 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
46 services43 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
45 services42 patients

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.

DR. MINAH KIM PHARM. D.
Pharmacist
55 E CALIFORNIA BLVD, SUITE 103
PASADENA, CA 91105
Los Angeles County (626) 795-5956
KRISTIN CHAPMAN MD
Pediatrics
55 E CALIFORNIA BLVD, SUITE 200
PASADENA, CA 91105
Los Angeles County (626) 449-7350
JOHN L EASTHOPE JR. MD
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, 3RD FL
PASADENA, CA 91105
Los Angeles County (626) 793-1227
JOHN E LEGAULT MD
Pediatrics
55 E CALIFORNIA BLVD, SUITE 200
PASADENA, CA 91105
Los Angeles County (626) 449-7350
JOEL W HEGER MD, INC.
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, 3RD FLOOR
PASADENA, CA 91105
Los Angeles County (626) 793-1227
JOHN L EASTHOPE JR MD INC
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, THIRD FLOOR
PASADENA, CA 91105
Los Angeles County (626) 793-1227
HJ ENTERPRISES
Pharmacy
55 E CALIFORNIA BLVD, STE 103
PASADENA, CA 91105
Los Angeles County (626) 795-5956
DR. RAYMOND SHUEN-YI YEN M.D.
Internal Medicine (Cardiovascular Disease)
55 E CALIFORNIA BLVD, THIRD FLOOR
PASADENA, CA 91105
Los Angeles County (626) 793-1227

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 Minah Kim's NPI number?

The NPI number for Minah Kim is 1649293697. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Cal Oaks Pharmacy.

Where is Minah Kim located?

Minah Kim is located at 55 E California Blvd Suite 103, Pasadena, CA 91105. The listed phone number is (626) 795-5956.

What is Minah Kim's specialty?

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

Is Minah Kim enrolled in Medicare?

Yes. Minah Kim is registered in the Medicare PECOS enrollment system.

When is Minah Kim's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Mass Immunization (Roster Biller Only)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Minah Kim accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 46 other insurers list Minah Kim 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 Minah Kim was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.