OrganizationActive
Boonam Shin
NPI 1821137118 · Community/Retail Pharmacy · Montebello, CA
Boonam Shin is a Community/Retail Pharmacy organization in Montebello, CA (NPI 1821137118).
Provider details
- NPI number
- 1821137118
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Boonam Shin, Owner(323) 742-8111
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
111 W Beverly Blvd
Ste B
Montebello, CA 90640-4312
Phone: (323) 724-8111
Fax: (323) 724-1754
Street-level locationGet directions
Mailing address
111 W Beverly Blvd
Montebello, CA 90640-4312
Other names (DBA / former)
- Doing business as
- 111 Pharmacy
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2011-05-27
Frequently asked questions
- What is Boonam Shin's NPI number?
- Boonam Shin's National Provider Identifier (NPI) is 1821137118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boonam Shin?
- Boonam Shin is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Boonam Shin located?
- Boonam Shin's practice location on file with NPPES is 111 W Beverly Blvd, Montebello, CA 90640-4312.
- What is Boonam Shin's phone number?
- The practice phone number listed in the NPPES registry for Boonam Shin is (323) 724-8111.
- Who is the authorized official for Boonam Shin?
- The authorized official listed on Boonam Shin's NPPES record is Boonam Shin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boonam Shin's NPI active?
- Yes — Boonam Shin's NPI (1821137118) is active in the NPPES registry as of the last update on 2011-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.