Provider Type Icon

KWANGSUN C SHIN NPI 1316044159


NPI Information

NPI: 1316044159
Provider Name: KWANGSUN C SHIN

Doing Business As: IMPERIAL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
15074 IMPERIAL HWY
LA MIRADA, CA
ZIP 90638
Phone: (562) 902-5580
Get Directions

KWANGSUN C SHIN is a community/retail pharmacy pharmacy in La Mirada, CA. The provider is 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. KWANGSUN C SHIN NPI is 1316044159. The provider is registered as an organization entity type.
The provider Is Doing Business As Imperial Pharmacy.

The provider's business location address is:

15074 IMPERIAL HWY
LA MIRADA, CA
ZIP 90638-301
Phone: (562) 902-5580
Fax: (562) 902-5589

The provider's authorized official is Kwangsun Shin .
The authorized official title is Owner & Pic and has the following contact phone number (562) 902-5580.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY46563CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14978000001MEDICARE NSC
2PHA465630MEDICAIDCALIFORNIA
32112601OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.