OrganizationActive
Prime Rx San Gabriel, Inc.
NPI 1114532231 · Community/Retail Pharmacy · San Gabriel, CA
Prime Rx San Gabriel, Inc. is a Community/Retail Pharmacy organization in San Gabriel, CA (NPI 1114532231).
Provider details
- NPI number
- 1114532231
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Donald Han, Ceo(626) 656-6939
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
533 W Las Tunas Dr # 102
San Gabriel, CA 91776-1133
Phone: (626) 656-6939
Fax: (626) 656-6593
Street-level locationGet directions
Mailing address
533 W Las Tunas Dr # 102
San Gabriel, CA 91776-1133
Other names (DBA / former)
- Doing business as
- Prime Rx San Gabriel
- Doing business as
- Prime Rx San Gabriel
Registry dates
- Enumerated
- 2020-09-15
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is Prime Rx San Gabriel, Inc.'s NPI number?
- Prime Rx San Gabriel, Inc.'s National Provider Identifier (NPI) is 1114532231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Rx San Gabriel, Inc.?
- Prime Rx San Gabriel, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Prime Rx San Gabriel, Inc. located?
- Prime Rx San Gabriel, Inc.'s practice location on file with NPPES is 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133.
- What is Prime Rx San Gabriel, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prime Rx San Gabriel, Inc. is (626) 656-6939.
- Who is the authorized official for Prime Rx San Gabriel, Inc.?
- The authorized official listed on Prime Rx San Gabriel, Inc.'s NPPES record is Donald Han, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Rx San Gabriel, Inc.'s NPI active?
- Yes — Prime Rx San Gabriel, Inc.'s NPI (1114532231) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.