Healthcare Provider Details

I. General information

NPI: 1417023292
Provider Name (Legal Business Name): CAL2000 PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2006
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E MAIN ST UNIT D
ALHAMBRA CA
91801-4082
US

IV. Provider business mailing address

726 E MAIN ST UNIT D
ALHAMBRA CA
91801-4082
US

V. Phone/Fax

Practice location:
  • Phone: 626-828-0303
  • Fax: 626-828-0333
Mailing address:
  • Phone: 626-828-0303
  • Fax: 626-828-0333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberPHY44971
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY44971
License Number StateCA

VIII. Authorized Official

Name: MR. RICHARD YONG
Title or Position: PRESIDENT
Credential: RPH
Phone: 909-946-9400