Wilshire Pharmcare, Inc., NPI 1922103142
Pharmacy in Laguna Hills, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1922103142 |
| NPI Entity Type | Organization |
| Provider Name |
Wilshire Pharmcare, Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 26611 Cabot Rd Ste B, Laguna Hills, CA, US |
| Provider Mailing Address | 26611 Cabot Rd Ste B, Laguna Hills, CA, US, 926537031 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PHARM.D. Samuel Kyong Yol Lee |
| Official Position | PRESIDENT/CEO |
| Phone | 323-295-5585 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pharmacy |
| Classification | |
| Group | |
| Description | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| PHY55921 | CA | No | |||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1922103142 | ID | MEDICAID | 05 |
| 27874737 | NM | MEDICAID | 05 |
| 474253 | AZ | MEDICAID | 05 |
| 1692434 | AK | MEDICAID | 05 |
| 1922103142 | CO | MEDICAID | 05 |
| 0547185 | CA | NCPDP NUMBER | 01 |
| 2104940 | WA | MEDICAID | 05 |
| 1922103142 | UT | MEDICAID | 05 |
| ZZZ56233Z | CA | BLUE SHIELD | 01 |
| 1922103142 | CA | MEDICAID | 05 |
| 1922103142 | MT | MEDICAID | 05 |
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