KOAM PHARMACY INC (NPI# 1518038215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518038215 |
| Entity Type | Organization |
| Organization Name | KOAM PHARMACY INC |
| Other Organization Name | KOAM PHARMACY |
| Practice Address |
18102 Pioneer Blvd Ste 101 Artesia CA 90701-3953 |
| Practice Telephone | 5624023636 |
| Practice Fax Number | 5624023676 |
| Mailing Telephone | 5624023636 |
| Mailing Fax Number | 5624023676 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | KWANG KIM (OWNER / PHARMACIST) |
| Authorized Official Telephone | 5624023636 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY43380 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997467 | 01 | |
| CA | PHY433800 | 05 |
| Other Name | Type Code |
|---|---|
| KOAM PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678248 | Koam Pharmacy Inc | Pharmacy | 18102 Pioneer Blvd Ste 102, Artesia, CA 90701-4400 | 2019-03-18 |
| Street Address |
18102 PIONEER BLVD STE 101 |
| City | ARTESIA |
| State | CA |
| Zip Code | 90701-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428916 | Deno D Kang | Internal Medicine | 18102 Pioneer Blvd, Number 204, Artesia, CA 90701-3953 | 2005-09-27 |
| 1043691769 | Ukjae Jung Dds Incorporated | Dentist | 18102 Pioneer Blvd, Artesia, CA 90701 | 2015-06-18 |
| 1093136087 | Deno D Kang M D Inc | Internal Medicine | 18102 Pioneer Blvd, Suite 204, Artesia, CA 90701-3953 | 2013-12-18 |
| 1891883013 | Rhoda D Ricafranca-evans | Chiropractor | 18102 Pioneer Blvd, Suite 104, Artesia, CA 90701-3953 | 2006-10-11 |
| 1861500340 | Stephen J. Curry A Professional Chiropractic Corp. | Chiropractor | 18102 Pioneer Blvd, Suite 104, Artesia, CA 90701-4399 | 2006-08-26 |
| 1801810064 | Jack Havran | Chiropractor | 18102 Pioneer Blvd, Suite 104, Artesia, CA 90701-3953 | 2006-07-27 |
| 1467415455 | Kungsoo Kim | Pediatrics | 18102 Pioneer Blvd, #201, Artesia, CA 90701-3953 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
| 1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
| 1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
| 1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
| 1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
| 1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
| 1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
| 1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
| 1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
| 1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
| Find all providers in zip 90701 | ||||
| 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 |
|---|---|---|---|---|
| 1184769853 | Welcome Pharmacy Inc | Pharmacy | 18379 Pioneer Blvd, Artesia, CA 90701-5532 | 2007-02-21 |
| 1336184233 | Garfield Beach Cvs LLC | Pharmacy | 11851 Artesia Blvd, Artesia, CA 90701-4002 | 2006-06-17 |
| 1295129666 | Cvs/pharmacy | Pharmacy | 11851 Artesia Blvd, Artesia, CA 90701-4002 | 2015-03-24 |
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| 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.