MEDICARE: CHENG PHARMACY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	51731	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2146036	OTHER		PK
3	1548350275	OTHER	CA	NPI

General Provider Information

NPI Number	:	1548350275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHENG PHARMACY SERVICES

Provider Business Mailing Address
First Line	:	5119 E BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-1703
Country	:	US
Telephone Number	:	323-264-5060
Fax Number	:	323-264-5252

Provider Business Practice Location Address
First Line	:	5119 E BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-1703
Country	:	US
Telephone Number	:	323-264-5060
Fax Number	:	323-264-5252

Authorized Official
Title or Position	:	CEO
Name	:	CHI CHENG
Credential	:
Telephone Number	:	323-264-5060

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/20/2020

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Directions to “CHENG PHARMACY SERVICES ” Practice Location

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