MOON H NAM (NPI# 1720180847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720180847 |
| Entity Type | Organization |
| Organization Name | MOON H NAM |
| Other Organization Name | WHITTIER INTERCOMMUNITY PHARMACY |
| Practice Address |
12291 Washington Blvd Ste 101 Whittier CA 90606-2500 |
| Practice Telephone | 5629454166 |
| Practice Fax Number | 5626968578 |
| Mailing Telephone | 5629454166 |
| Mailing Fax Number | 5626968578 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MOON NAM (OWNER & PIC) |
| Authorized Official Telephone | 5629454166 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47408 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2000302 | 01 | |
| CA | 5654660001 | 05 |
| Other Name | Type Code |
|---|---|
| WHITTIER INTERCOMMUNITY PHARMACY | Doing Business As Name - Organization |
| Street Address |
12291 WASHINGTON BLVD STE 101 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90606-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213067 | Teresa Bernadette Sokol | Physician Assistant | 12291 Washington Blvd, Suite 303, Whittier, CA 90606-2500 | 2005-08-25 |
| 1326508979 | Gesina Thiry | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2019-03-20 |
| 1427405737 | Pih Health Physicians | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2016-05-17 |
| 1912368838 | Nancy Carballo | General Practice | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2016-03-19 |
| 1013396274 | Andy B. Lee | Family Medicine | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2015-05-21 |
| 1326426750 | Amber Rebecca Lin | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606 | 2015-05-18 |
| 1639558067 | Andrew Lin | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2015-05-18 |
| 1235517665 | Ilana Solomon | Family Medicine | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1225416654 | Misty Cool | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1881008662 | Somil Piyush Viradia | Internal Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
| 1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
| 1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
| 1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
| 1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
| 1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
| 1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
| 1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
| 1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
| 1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
| Find all providers in zip 90606 | ||||
| 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 |
|---|---|---|---|---|
| 1053326389 | Walgreen Co | Pharmacy | 11604 Whittier Blvd, Whittier, CA 90601-3936 | 2006-07-29 |
| 1922042290 | Garfield Beach Cvs LLC | Pharmacy | 10048 Mills Ave, Whittier, CA 90604-1201 | 2006-06-16 |
| 1811980253 | Friendly Hills Medical Center Pharmacy Inc. | Pharmacy | 15725 E Whittier Blvd, Suite A, Whittier, CA 90603-2343 | 2005-08-30 |
| 1275170409 | Mulberry Pharmacy LLC | Pharmacy | 15025 Mulberry Dr, Whittier, CA 90604-1528 | 2019-12-06 |
| 1891240792 | Bright Pharmacy Group, Inc | Pharmacy | 15725 Whittier Blvd, Suite A, Whittier, CA 90603-2347 | 2016-08-20 |
| 1083000830 | Hv Healthcare Inc. | Pharmacy | 12464 Washington Blvd, Whittier, CA 90602-1005 | 2015-04-08 |
| 1861551392 | Friendly Hills Medical Center Pharmacy Inc | Pharmacy | 15141 E Whittier Blvd, Suite 115, Whittier, CA 90603-2135 | 2006-12-08 |
| 1437237435 | Whittier Plaza Pharmacy, Inc. | Pharmacy | 14350 Whittier Blvd, Suite, 103, Whittier, CA 90605-2138 | 2006-11-01 |
| 1639184252 | Whittier Community Pharmacy Inc | Pharmacy | 8135 Painter Ave, Ste 100, Whittier, CA 90602-3158 | 2006-07-30 |
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|---|---|---|---|---|
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| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
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| 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.