UNIVERSITY OF SOUTHERN CALIFORNIA (NPI# 1790160273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790160273 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF SOUTHERN CALIFORNIA |
| Other Organization Name | KECK MEDICINE OF USC SPECIALTY PHARMACY |
| Practice Address |
1000 S Fremont Ave Suite 10150 Alhambra CA 91803-8800 |
| Practice Telephone | 8558852600 |
| Practice Fax Number | 6264574195 |
| Mailing Telephone | 8558852600 |
| Mailing Fax Number | 6264574195 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | MR. THOMAS E. JACKIEWICZ (SVP & CEO, KECK MEDICINE OF USC) |
| Authorized Official Telephone | 8558852600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
53460 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Keck Medicine of USC Specialty Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724168 | University of Southern California | Dentist | 545 S. San Pedro Street, Second Floor, Los Angeles, CA 90013-2101 | 2017-04-13 |
| 1558819391 | University of Southern California | General Acute Care Hospital | 1441 Eastlake Avenue, Suite 3440, Los Angeles, CA 90033-4972 | 2016-09-21 |
| 1306263264 | University of Southern California | Pharmacy | 830 S Flower St, Los Angeles, CA 90017-4608 | 2014-03-27 |
| 1568595684 | University of Southern California | Clinical Medical Laboratory | 1441 Eastlake Avenue, Room 5409, Los Angeles, CA 90033 | 2007-03-14 |
| 1427181577 | University of Southern California | Clinical Medical Laboratory | 1200 North State Street, Barracks D, Los Angeles, CA 90033 | 2007-03-14 |
| 1881727220 | University of Southern California | Clinical Medical Laboratory | 1321 North Mission Road, Lrb 207 and 208, Los Angeles, CA 90033 | 2007-03-14 |
| 1427181072 | University of Southern California | Clinical Medical Laboratory | 126 W. Del Mar Blvd, Pasadena, CA 91105-2508 | 2007-03-13 |
| 1285707158 | University of Southern California | Dentist | 3151 S Hoover St, Los Angeles, CA 90089-0641 | 2006-11-16 |
| 1952480469 | University of Southern California | Pharmacy | 3601 Trousdale Pkwy, Stu 101, Los Angeles, CA 90089-0096 | 2006-11-03 |
| 1104206176 | University of Southern California | Skilled Nursing Facility | 1510 San Pablo St, Hcc 600, Los Angeles, CA 90033-5320 | 2015-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | UNIVERSITY OF SOUTHERN CALIFORNIA | 3551 Trousdale Parkway, Adm 352, Los Angeles, CA 90089-5013 |
| North Carolina Corporations | University of Southern California | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Street Address |
1000 S FREMONT AVE SUITE 10150 |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91803-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881699452 | Roberto D Decandia | Psychologist | 1000 S Fremont Ave, Eastern Los Angeles Regional Center, Alhambra, CA 91802-7916 | 2005-06-20 |
| 1811513021 | Gabrielle Chasen Johnson | Registered Nurse | 1000 S Fremont Ave, Alhambra, CA 91803-8800 | 2020-06-23 |
| 1033730635 | Dru Elizabeth Lezina | Pharmacist | 1000 S Fremont Ave, Alhambra, CA 91803-8800 | 2020-05-05 |
| 1255801106 | Melanie Braund | Physical Therapist | 1000 S Fremont Ave, Alhambra, CA 91803-8800 | 2018-12-04 |
| 1265947352 | Katherine Tse | Occupational Therapist | 1000 S Fremont Ave, Alhambra, CA 91803-8800 | 2017-12-11 |
| 1487188041 | Fabian Castrellon | Behavioral Analyst | 1000 S Fremont Ave, Unit 60, Alhambra, CA 91803-8800 | 2017-04-20 |
| 1588198220 | Miriam Torres Hanson | Behavioral Analyst | 1000 S Fremont Ave, Suite 60, Alhambra, CA 91803-8800 | 2017-04-19 |
| 1104362896 | Jenna Stauffer | Assistant Behavior Analyst | 1000 S Fremont Ave, Building A-5, Suite 5128, Alhambra, CA 91803-8800 | 2017-01-18 |
| 1801339288 | Wai Yan Chow | Occupational Therapist | 1000 S Fremont Ave, Unit 27, Alhambra, CA 91803-8800 | 2016-12-02 |
| 1639629249 | Kira Bender | Occupational Therapist | 1000 S Fremont Ave, Alhambra, CA 91803-8800 | 2016-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1932768421 | Lorna Lynch | Student in an Organized Health Care Education/Training Program | Lorna Lynch, 1000 S Freemont, Unit 5, Alhambra, CA 91803 | 2019-06-10 |
| 1114409281 | Roslynn Stone | Pharmacist | 1000 S. Fremont, A10n Suite 10150, Alhambra, CA 91803 | 2018-09-05 |
| 1598250615 | Motherly Comfort Home Care, LLC | In Home Supportive Care | 300 W Valley Blvd # 911, Alhambra, CA 91803 | 2018-06-30 |
| 1922510858 | Christina Arez | Behavioral Analyst | 1000 Freemont Ave., Bldg A5, Suite 5100, Unit 81, Alhambra, CA 91803 | 2017-11-01 |
| 1508312182 | Tiffany Chan | Occupational Therapist | 1000 S Fremont Ave., Alhambra, CA 91803 | 2016-09-01 |
| 1194123323 | Jessica Kuo | Pharmacist | 1800 S. 5th Street, Alhambra, CA 91803 | 2014-12-22 |
| 1467861096 | Second Wind Home Health Inc | Home Health | 2225 W. Commonwealth Ave Sutie 213, Alhambra, CA 91803 | 2014-08-07 |
| 1306254800 | Sum Li, Dds, Inc. | Dentist | 2311 West Valley Blvd., Alhambra, CA 91803 | 2014-07-28 |
| 1518380443 | Qiuchen Tu | Behavioral Analyst | 506 S. Palm Ave., Alhambra, CA 91803 | 2014-01-29 |
| Find all providers in zip 91803 | ||||
| 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 |
|---|---|---|---|---|
| 1114547650 | L & L Rx Inc | Pharmacy | 1118 S Garfield Ave Ste 101, Alhambra, CA 91801-4796 | 2020-04-24 |
| 1417047739 | Advance Pharmacy Inc. | Pharmacy | 88 S Palm Ave, Alhambra, CA 91801-3101 | 2006-10-15 |
| 1215031265 | Main Pharmacy | Pharmacy | 103 N Garfield Ave Ste D, Alhambra, CA 91801-3576 | 2006-09-12 |
| 1619087210 | Costco Wholesale Corporation | Pharmacy | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2006-08-30 |
| 1871504456 | Tal Inc Dba A 1 Pharmacy | Pharmacy | 935 S Garfield Ave, Alhambra, CA 91801-4442 | 2006-08-10 |
| 1437194230 | Garfield Beach Cvs LLC | Pharmacy | 2532 W Valley Blvd, Alhambra, CA 91803-1934 | 2006-06-17 |
| 1245878735 | M & M Thai Enterprises Inc | Pharmacy | 349 E Main St Ste 101, Alhambra, CA 91801-7909 | 2019-12-15 |
| 1356903454 | Lakeli Pharmacy Group Inc | Pharmacy | 88 S Palm Ave, Alhambra, CA 91801-3101 | 2019-06-28 |
| 1669854782 | Sav-on Pharmacy Albertson's | Pharmacy | 2400 W Commonwealth Ave, Alhambra, CA 91803 | 2015-06-25 |
| 1821409814 | Alpha M Edical Pharmacy | Pharmacy | 703 W Valley Blvd, Alhambra, CA 91803-3232 | 2014-05-13 |
| Find all providers in ALHAMBRA | ||||
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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.