LONG BEACH MEMORIAL MEDICAL (NPI# 1003829722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003829722 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEMORIAL MEDICAL |
| Other Organization Name | MILLER CHILDRENS PHARMACY |
| Practice Address |
2801 Atlantic Ave Long Beach CA 90806 |
| Mailing Address |
Po Box 20359 Long Beach CA 90801-3359 |
| Practice Telephone | 5629330330 |
| Practice Fax Number | 5629332014 |
| Mailing Telephone | 5629330273 |
| Mailing Fax Number | 5629331794 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | CHRIS FINCH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7143773218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY22489 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2001264 | 01 | |
| CA | PHA215000 | 05 |
| Other Name | Type Code |
|---|---|
| MILLER CHILDRENS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473438 | Long Beach Memorial Medical | Pharmacy | 2701 Atlantic Ave Ste 100, Long Beach, CA 90806-2701 | 2020-10-05 |
| 1477036382 | Long Beach Memorial Medical | Clinic/Center | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2018-09-07 |
| 1215398755 | Long Beach Memorial Medical | Pharmacy | 2810 Long Beach Blvd, Long Beach, CA 90806-1558 | 2016-03-11 |
| 1053653782 | Long Beach Memorial Medical | Durable Medical Equipment & Medical Supplies | 455 E Columbia St, Long Beach, CA 90806 | 2013-03-20 |
| 1699068940 | Long Beach Memorial Medical | Psychiatric Unit | 1720 Termino Ave, Long Beach, CA 90804-2104 | 2011-05-19 |
| 1720371065 | Long Beach Memorial Medical | General Acute Care Hospital | 1720 Termino Ave, Long Beach, CA 90804 | 2011-05-19 |
| 1891890158 | Long Beach Memorial Medical | Pharmacy | 2801 Atlantic Ave, Long Beach, CA 90806 | 2006-09-13 |
| 1679677629 | Long Beach Memorial Medical | Durable Medical Equipment & Medical Supplies | 23521 Paseo De Valencia, Ste B-1, Laguna Hills, CA 92653 | 2006-09-12 |
| 1972514503 | Long Beach Memorial Medical | Pharmacy | 450 E Spring St, Ste 11, Long Beach, CA 90806 | 2006-08-10 |
| 1477596583 | Long Beach Memorial Medical | General Acute Care Hospital | 2801 Atlantic Ave, Long Beach, CA 90806 | 2006-06-14 |
| Street Address |
2801 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912054 | Richard Eric Swensson | Pediatrics | 2801 Atlantic Ave, Long Beach, CA 90806-1737 | 2005-06-16 |
| 1407453152 | Chih-yin Cheng | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-10-06 |
| 1386251270 | Veronica Camarero | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-25 |
| 1942816087 | Carol Lerma | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-23 |
| 1962017327 | Kellie Leann Padilla | Registered Nurse | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-12 |
| 1518571850 | Jeannine Meyer | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-03 |
| 1376154138 | Katelyn Kriegel | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-13 |
| 1689284309 | Jasmin Sidhu, Md Inc | Hospitalist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-08-06 |
| 1245853068 | Blanca Guadalupe Lansang | Nurse Practitioner | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-27 |
| 1164044376 | Megan Dongsun Won | Pharmacist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1609473438 | Long Beach Memorial Medical | Pharmacy | 2701 Atlantic Ave Ste 100, Long Beach, CA 90806-2701 | 2020-10-05 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1134786437 | Soung Monh Pharmacy Corporation | Pharmacy | 1050 Atlantic Avenue, Long Beach, CA 90813-3403 | 2019-05-22 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1972083459 | Pacific Avenue Pharmacy Inc | Pharmacy | 2777 Pacific Ave Ste A, Long Beach, CA 90806-2626 | 2018-08-15 |
| 1871016972 | Walgreen Co | Pharmacy | 200 W Railroad St Ste B, Long Beach, MS 39560-4517 | 2017-07-20 |
| 1730611559 | Good Life Pharmacy Inc | Pharmacy | 2633 Atlantic Ave, Long Beach, CA 90806-2710 | 2017-03-30 |
| 1790152114 | Aaa Golden Pharmacy Inc | Pharmacy | 1750 Pacific Ave, Long Beach, CA 90813-1715 | 2015-09-02 |
| 1821494576 | La Drugs Inc | Pharmacy | 4233 Atlantic Ave, Long Beach, CA 90807 | 2014-11-07 |
| 1811392418 | Galaxy Pharmacy Inc | Pharmacy | 1295 E Anaheim St, Long Beach, CA 90813-3709 | 2014-10-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on LONG BEACH MEMORIAL MEDICAL.
| 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.