CAL OAKS III HM PHARMACY AT SAN MARINO (CAL OAKS PHARMACY, INC) NPI 1821349267

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

NPI 1821349267 Organization Pharmacy Community/Retail Pharmacy

About CAL OAKS III HM PHARMACY AT SAN MARINO (CAL OAKS PHARMACY, INC)

Cal Oaks Iii Hm Pharmacy At San Marino (cal Oaks Pharmacy, Inc) is a provider established in San Marino, California specializing in pharmacy (community/retail pharmacy) . The NPI number of Cal Oaks Iii Hm Pharmacy At San Marino (cal Oaks Pharmacy, Inc) is 1821349267 and was assigned on September 2012. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Cal Oaks Iii Hm Pharmacy At San Marino. The authorized official of this NPI record is Dr. Minah Kim Pharm. D. (Ceo)

NPI

1821349267

Provider NameCAL OAKS III HM PHARMACY AT SAN MARINO (CAL OAKS PHARMACY, INC)
Provider Location Address2010 HUNTINGTON DR SUITE A SAN MARINO, CA 91108
Provider Mailing Address55 E CALIFORNIA BLVD SUITE 103 PASADENA, CA 91105
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCAL OAKS III HM PHARMACY AT SAN MARINO
Other Name TypeDoing Business As (3)
Enumeration Date09-25-2012
Last Update Date09-25-2012


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
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

CAL OAKS III HM PHARMACY AT SAN MARINO
2010 HUNTINGTON DR
SUITE A
SAN MARINO, CA
ZIP 91108
Phone: (626) 795-5956
Fax: (626) 795-4998

Get Directions


Mailing Address

CAL OAKS III HM PHARMACY AT SAN MARINO
55 E CALIFORNIA BLVD
SUITE 103
PASADENA, CA
ZIP 91105
Phone: (626) 795-5956
Fax: (626) 795-4998



Authorized Official

Authorized Official NameDR. MINAH KIM PHARM. D.
Authorized Official TitleCEO
Authorized Official Phone(626) 795-5956

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1972148401 WILSON TRAN
Individual
Physical Therapist2010 HUNTINGTON DR
SAN MARINO, CA 91108
(225) 362-3234

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.