K-MOA HEALTHCARE, INC. (NPI# 1386160919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386160919 |
| Entity Type | Organization |
| Organization Name | K-MOA HEALTHCARE, INC. |
| Other Organization Name | K'S PHARMACY |
| Practice Address |
12582 Central Ave Chino CA 91710-3507 |
| Practice Telephone | (909) 591-7429 |
| Practice Fax Number | 9099029480 |
| Mailing Telephone | 9095917429 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DR. DIANE KIM (SECRETARY/PIC) |
| Authorized Official Telephone | 9095917429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
55791 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| K's Pharmacy | Doing Business As Name - Organization |
| Street Address |
12582 CENTRAL AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| 1821363011 | Diane Deoksu Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655661 | United Pharmacy Solutions Inc | Pharmacy | 13841 Roswell Ave Ste I, Chino, CA 91710-5467 | 2017-12-22 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1962830448 | Excel Rx Inc | Pharmacy | 5272 Francis St, Chino, CA 91710 | 2013-10-21 |
| 1154694404 | Genesis Rx Inc | Pharmacy | 5385 Walnut Ave Ste 3, Chino, CA 91710-2605 | 2012-02-17 |
| 1578632071 | Nks Pharmacy | Pharmacy | 14182 Central Ave, Ste E, Chino, CA 91710-5765 | 2006-11-07 |
| 1609898394 | Garfield Beach Cvs LLC | Pharmacy | 5555 Philadelphia St, Chino, CA 91710-2481 | 2006-07-24 |
| 1710413703 | Misoco,llc | Pharmacy | 12422 Central Ave, Chino, CA 91710-2603 | 2017-05-11 |
| 1649400128 | Pharmagrace, Inc. | Pharmacy | 13768 Roswell Ave, Suite 111, Chino, CA 91710-1401 | 2009-07-20 |
| 1891838272 | Vip Pharmacy Inc | Pharmacy | 13193 Central Ave, Chino, CA 91710-4179 | 2007-02-15 |
| Find all providers in CHINO | ||||
Please comment or provide details below to improve the information on K-MOA HEALTHCARE, INC..
| 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.