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K-MOA HEALTHCARE INC. NPI 1386160919


NPI Information

NPI: 1386160919
Provider Name: K-MOA HEALTHCARE, INC.

Doing Business As: K'S PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2186696

Address:
12582 CENTRAL AVE
CHINO, CA
ZIP 91710
Phone: (909) 591-7429
Get Directions

K-MOA HEALTHCARE, INC. is a community/retail pharmacy pharmacy in Chino, 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. K-MOA HEALTHCARE, INC. NPI is 1386160919. The provider is registered as an organization entity type.
The provider Is Doing Business As K's Pharmacy.

The provider's business location address is:

12582 CENTRAL AVE
CHINO, CA
ZIP 91710-507
Phone: (909) 591-7429
Fax: (909) 902-9480

The provider's authorized official is Diane Kim .
The authorized official title is Secretary/pic and has the following contact phone number (909) 591-7429.

The CLIA number assigned to this NPI record is 05D2186696 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 7/21/2022.


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
13336C0003XPharmacyCommunity/Retail Pharmacy55791CALIFORNIAYes

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

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