HUNTINGTON PHARMACY (P.S. ENTERPRISE, INC) NPI 1669569810

Pharmacy (Community/Retail Pharmacy) in San Marino, CA

NPI 1669569810 Organization Pharmacy Community/Retail Pharmacy

About HUNTINGTON PHARMACY (P.S. ENTERPRISE, INC)

Huntington Pharmacy (p.s. Enterprise, Inc) is a provider established in San Marino, California specializing in pharmacy (community/retail pharmacy) . The NPI number of Huntington Pharmacy (p.s. Enterprise, Inc) is 1669569810 and was assigned on October 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PHY45238 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Huntington Pharmacy. The authorized official of this NPI record is Dr. Phic Kaing Lim Phrm D (Owner)

NPI

1669569810

Provider NameHUNTINGTON PHARMACY (P.S. ENTERPRISE, INC)
Provider Location Address2300 HUNTINGTON DR SAN MARINO, CA 91108
Provider Mailing Address2300 HUNTINGTON DR SAN MARINO, CA 91108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHUNTINGTON PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date10-09-2006
Last Update Date03-30-2011


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.PHY45238
License StateCA
Taxonomy DescriptionA 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.

Business Address

HUNTINGTON PHARMACY
2300 HUNTINGTON DR
SAN MARINO, CA
ZIP 91108
Phone: (626) 287-9921
Fax: (626) 285-0644

Get Directions


Mailing Address

HUNTINGTON PHARMACY
2300 HUNTINGTON DR
SAN MARINO, CA
ZIP 91108
Phone: (626) 287-9921
Fax: (626) 285-0644



Authorized Official

Authorized Official NameDR. PHIC KAING LIM PHRM D
Authorized Official TitleOWNER
Authorized Official Phone(626) 287-9921

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2333600000XSuppliersPharmacyNo

Taxonomy Description: 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.

33336C0004XSuppliersPharmacyCompounding PharmacyNo

Taxonomy Description: a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
PHA452380MEDICAID (05)CA
0524846OTHER (01)
5399520001MEDICARE NSC (07)CA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093753204VAN NUYS DIAGNOSTIC SERVICES, INC.
Organization
Physiological Laboratory2300 HUNTINGTON DR #B
SAN MARINO, CA 91108
(626) 237-0502

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.