CMC ENTERPRISE INC NPI 1972013480

NPI Information

  • NPI: 1972013480
  • Provider Name: CMC ENTERPRISE INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: ECHO PARK PHARMACY
  • Address: 1634 W SUNSET BLVD
    LOS ANGELES, CA
    ZIP 90026
  • Phone: (213) 341-1411

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NPI Details

CMC ENTERPRISE INC is a community/retail pharmacy pharmacy in Los Angeles, 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. CMC ENTERPRISE INC NPI is 1972013480. The provider is registered as an organization entity type.
The provider Is Doing Business As Echo Park Pharmacy.

The provider's business location address is:

1634 W SUNSET BLVD
LOS ANGELES, CA
ZIP 90026-227
Phone: (213) 341-1411
Fax: (213) 395-0711

The provider's authorized official is Craig K Yoo .
The authorized official title is Pharmacist/ceo and has the following contact phone number (213) 341-1411.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 10/10/2017 and was last updated on 12/22/2020.

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
13336C0003XPharmacyCommunity/Retail Pharmacy55666CALIFORNIAYes

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: 3/30/2025

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