KNOLLS PHARMACY NPI 1124157904

NPI Information

  • NPI: 1124157904
  • Provider Name: KNOLLS PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Other Name: GORDON WONG
  • Address: 16630 MARQUEZ AVE
    PACIFIC PALISADES, CA
    ZIP 90272
  • Phone: (310) 454-6000

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NPI Details

KNOLLS PHARMACY is a community/retail pharmacy pharmacy in Pacific Palisades, 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. KNOLLS PHARMACY NPI is 1124157904. The provider is registered as an organization entity type.
The provider Other Name Is Gordon Wong.

The provider's business location address is:

16630 MARQUEZ AVE
PACIFIC PALISADES, CA
ZIP 90272-233
Phone: (310) 454-6000
Fax: (310) 454-0605

The provider's authorized official is Gordon Wong .
The authorized official title is Owner Pharmacist and has the following contact phone number (310) 454-6000.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/17/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY36924CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11994466OTHERPK

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: 11/21/2025

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