MEDICARE: DR. KEVIN VANNUKUL RPH

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	183500000X	Pharmacist	79416	CA

General Provider Information

NPI Number	:	1790250793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN VANNUKUL RPH

Provider Business Mailing Address
First Line	:	12110 HADLEY ST STE B
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-3912
Country	:	US
Telephone Number	:	877-602-7779
Fax Number	:

Provider Business Practice Location Address
First Line	:	12110 HADLEY ST STE B
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-3912
Country	:	US
Telephone Number	:	877-602-7779
Fax Number	:	562-600-4166

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	05/21/2026

Similar Medicare Providers

1114239332 — CALIFORNIA SPECIALTY PHARMACY LLC
Practice Location Address:

12110 HADLEY ST STE B
WHITTIER, CA
90601-3912

Practice Phone: 877-802-7779
Practice Fax: 866-853-6555

1710857743 — SIERRA NICOLE BRANDT-GRAY PHARMD
Practice Location Address:

12110 HADLEY ST
WHITTIER, CA
90601-3912

Practice Phone: 562-698-6305
Practice Fax:

1851062038 — PLANT PSYCHOLOGICAL SERVICES, INC.
Practice Location Address:

16314 LANDMARK DR
WHITTIER, CA
90604-3912

Practice Phone: 562-646-6313
Practice Fax:

1962331512 — FIRA DIAGNNOSTICS
Practice Location Address:

12501 PHILADELPHIA ST STE 307
WHITTIER, CA
90601-3900

Practice Phone: 832-495-7807
Practice Fax:

1528995651 — FIRA DIAGNNOSTICS
Practice Location Address:

12501 PHILADELPHIA ST STE 307
WHITTIER, CA
90601-3900

Practice Phone: 872-375-8164
Practice Fax:

1659373983 — DR. GLENN TISMAN M.D.
Practice Location Address:

13025 BAILEY ST , STE A
WHITTIER, CA
90601-4212

Practice Phone: 562-789-8822
Practice Fax: 562-698-4582

Directions to “ DR. KEVIN VANNUKUL RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.