BIG A DRUG STORE (NPI# 1174612725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174612725 |
| Entity Type | Organization |
| Organization Name | BIG A DRUG STORE |
| Practice Address |
1516 E South St Long Beach CA 90805-4341 |
| Mailing Address |
Po Box 31001 Pasadena CA 91110-0001 |
| Practice Telephone | 5624286693 |
| Practice Fax Number | 5624225321 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD DALLAL (PRESIDENT) |
| Authorized Official Telephone | 5626339578 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | PHY43391 | CA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA433910 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0514100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609965250 | Big A Drug Store | Pharmacy | 4950 Almaden Expy Ste C, San Jose, CA 95118-2014 | 2006-10-12 |
| Street Address |
1516 E SOUTH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730346727 | Jacqueline Marie Lord | Pharmacist | 1516 E South St, Long Beach, CA 90805-4341 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578923025 | Tencare Pharmacy Inc | Pharmacy | 750 Long Beach Blvd Ste 3, Long Beach, CA 90813-4417 | 2016-02-26 |
| 1396119830 | Hl Pharmacy | Pharmacy | 837 E Anaheim St, Long Beach, CA 90813-3550 | 2015-11-20 |
| 1811360043 | Ten Pharmacy | Pharmacy | 750 Long Beach Blvd Ste 1, Long Beach, CA 90813-4417 | 2015-11-10 |
| 1063893816 | Proservrx Inc | Pharmacy | 3828 Schaufele Ave Ste 260, Long Beach, CA 90808-1793 | 2015-06-17 |
| 1356746044 | Mrk View, Inc | Pharmacy | 2491 Pacific Ave Ste 1, Long Beach, CA 90806-2900 | 2014-10-24 |
| 1235496654 | Andrew Minh Do | Pharmacy | 4028 E 7th St, Long Beach, CA 90804-5307 | 2012-04-23 |
| 1659428977 | Kaiser Foundation Health Plan Inc | Pharmacy | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2007-01-05 |
| 1053472753 | Bi-wise Pharmacy Corp. | Pharmacy | 26 West Park Ave, Long Beach, NY 11561-2018 | 2006-12-13 |
| 1508955154 | Big A Drugstore | Pharmacy | 8111 E Wardlow Rd, Long Beach, CA 90808-3204 | 2006-10-12 |
| 1154419091 | Sumi Pharmacies Inc | Pharmacy | 653 Long Beach Blvd, Long Beach, CA 90802 | 2006-10-10 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on BIG A DRUG STORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.